Individual
FEHINTOLA EZEUDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 CHANDLER WAY DR, LAWRENCEVILLE, GA 30045-8163
(404) 512-5956
Mailing address
1126 CHANDLER WAY DR, LAWRENCEVILLE, GA 30045-8163
(404) 512-5956
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
230957
GA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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