Individual
EME UNANAOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
575 PROFESSIONAL DR STE 290, LAWRENCEVILLE, GA 30046-3347
(770) 417-8170
(855) 530-3640
Mailing address
2493 WATERS RUN, DECATUR, GA 30035-2540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-173927
AL
163WH0500X
Hemodialysis Registered Nurse
RN333943
GA
363LF0000X
Family Nurse Practitioner
1-173927
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
RN333943
GA
Other
Enumeration date
04/11/2020
Last updated
04/09/2025
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