Individual
GEOFFREY NGENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(305) 831-4736
(305) 831-4736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055507
GA
208M00000X
Hospitalist Physician
055507
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337221873E
—
GA
05
—
357221873A
—
GA
Enumeration date
09/20/2005
Last updated
03/17/2018
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