Individual
HANNAH OGECHI EPHRAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 NW ENTERPRISE WAY, LAKE CITY, FL 32055-8837
(850) 487-6357
Mailing address
155 NW ENTERPRISE WAY, LAKE CITY, FL 32055-8837
(850) 487-6357
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1728
FL
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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