Individual
RITA OWENAZE EDOSOMWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 VICTORIA HEIGHTS CT, DALLAS, GA 30132-9281
(770) 369-3420
Mailing address
28 VICTORIA HEIGHTS CT, DALLAS, GA 30132-9281
(770) 369-3420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
253943
GA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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