Individual
LINUS ONYEMAECHI EJIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 SPARTA RD, SANDERSVILLE, GA 31082-1859
(478) 552-1200
(478) 552-5600
Mailing address
516 SPARTA ROAD, P.O.BOX 761, SANDERSVILLE, GA 31082
(478) 552-1200
(866) 306-4654
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
050617
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00978425A
—
GA
Enumeration date
08/25/2005
Last updated
07/22/2022
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