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Individual

MRS. ENE L EKPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
402 N WALL ST, CALHOUN, GA 30701-1944
(678) 644-7002
Mailing address
3903 NEMOURS TRL NW, KENNESAW, GA 30152-7826
(678) 644-7002

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019816
GA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
019816
GA

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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