Individual
KOSISOCHI EHIRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-7980
Mailing address
391 17TH ST NW, ATLANTA, GA 30363-1148
(678) 779-3711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN332840
GA
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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