Individual
GLORIA EZIAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5035 DEER BROOK TRL, AUSTELL, GA 30106-3026
(770) 374-6055
Mailing address
2000 VILLAGE PROFESSIONAL DR STE 110, CANTON, GA 30114-8499
(678) 880-6698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN168795
GA
Other
Enumeration date
01/27/2025
Last updated
10/20/2025
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