Individual
BERNARD U NWAGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4273 HOLLIDAY RD, ATLANTA, GA 30349-8850
(770) 969-8810
Mailing address
4273 HOLLIDAY RD, ATLANTA, GA 30349-8850
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
PHCP010367
GA
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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