Individual
MR. GILBERT EMMANUEL AHANOTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2405 ANDERSON RD UNIT 20, OXFORD, MS 38655-2754
(601) 506-7759
Mailing address
2405 ANDERSON RD UNIT 20, OXFORD, MS 38655-2754
(601) 506-7759
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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