Individual
EZINMA EJIMONYEUGWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MILLARD FARMER IND BLVD, NEWNAN, GA 30263-1078
(267) 432-2903
Mailing address
1 MILLARD FARMER IND BLVD, NEWNAN, GA 30263-1078
(267) 432-2903
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PHI-022395
GA
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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