Individual
LILIAN CHINYERE ENEUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY FL 2, DECATUR, GA 30030-1707
(404) 508-7700
Mailing address
445 WINN WAY FL 2, DECATUR, GA 30030-1707
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN194074
GA
Other
Enumeration date
05/23/2023
Last updated
05/28/2023
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