Individual
MR. WILLIE C ONYILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3126 ESPLANADE CIR SW, ATLANTA, GA 30311-4221
(404) 349-5630
Mailing address
3126 ESPLANADE CIR SW, ATLANTA, GA 30311-4221
(404) 349-5630
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN135600
GA
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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