Individual
ONYEBUCHI NEITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
710 NEWNAN CROSSING BYP, NEWNAN, GA 30263-2384
(770) 251-5111
Mailing address
7300 RANCH ROAD 2222, BUILDING 1, STE 200, AUSTIN, TX 78730
(512) 628-0465
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I972739
MEDICARE ID
GA
01
—
P01268623
RAILROAD MEDICARE
GA
Enumeration date
07/01/2013
Last updated
03/31/2023
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