Individual
ESOHE OSAGHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN-BC, CCM
Contact information
Practice address
185 POINTER RIDGE TRL, FAYETTEVILLE, GA 30214-7405
(877) 875-4370
(678) 870-5111
Mailing address
185 POINTER RIDGE TRL, FAYETTEVILLE, GA 30214-7405
(877) 875-4370
(678) 870-5111
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN167238
GA
163WC1500X
Community Health Registered Nurse
RN167238
GA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN167238
GA
Other
Enumeration date
07/03/2006
Last updated
06/16/2018
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