Individual
AUDREY N EZEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MSN
Contact information
Practice address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-0710
Mailing address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-0710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
202850
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN225327
GA
367500000X
Certified Registered Nurse Anesthetist
RN2265022
MA
Other
Enumeration date
04/20/2009
Last updated
05/22/2014
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