Individual
DR. PRINCEWILL U EHIRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MEDICAL CENTER BLVD, SUITE 200, LAWRENCEVILLE, GA 30045-8708
(678) 916-7053
(678) 826-0867
Mailing address
500 MEDICAL CENTER BLVD, SUITE 200, LAWRENCEVILLE, GA 30045-8708
(678) 916-7053
(678) 826-0867
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
048508
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00890326B
—
GA
Enumeration date
06/28/2005
Last updated
04/03/2008
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