Individual
IFEOMA OKPONYIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 QUARTZ DR STE 201&203, VILLA RICA, GA 30180-3255
(770) 459-4411
(770) 456-3785
Mailing address
100 GREENWAY BLVD FL 2, CARROLLTON, GA 30117-4338
(770) 838-8710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97246
GA
Other
Enumeration date
03/30/2020
Last updated
03/21/2024
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