Organization
CHIGORZIRI D. UMUNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA OAKES (BILLING SUPERVISOR)
(478) 803-7809
Entity
Organization
Contact information
Practice address
60 GA HIGHWAY 22 W, BLANDY WAY OFFICE PARK, MILLEDGEVILLE, GA 31061-6606
(478) 451-2701
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 803-7809
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC007056
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC007056
LICENSE NO.
GA
Enumeration date
01/14/2013
Last updated
07/29/2013
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