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Individual

ONYAKA OBIARUKO AZU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
595 GARDINIA DR, MCDONOUGH, GA 30253-3910
(770) 374-9726
Mailing address
2020 AVALON PKWY STE 360, MCDONOUGH, GA 30253-3088
(770) 374-2302

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
062179528
GA
172A00000X
Driver
Primary

Other

Enumeration date
03/25/2025
Last updated
03/25/2025
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