Individual
JOY CHIDINMA EZUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 E WEST CONNECTOR STE 106, AUSTELL, GA 30106-6848
(770) 941-0010
Mailing address
1459 BELLEMEADE FARMS RD SW, MARIETTA, GA 30008-3857
(404) 579-7264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN211803
GA
Other
Enumeration date
03/03/2018
Last updated
03/03/2018
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