Individual
OLIVER EBERECHUKWU NOSIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2677 CIMMARON TRL, LITHIA SPRINGS, GA 30122-2796
(770) 734-3934
(678) 263-4576
Mailing address
2285 WASHINGTON DR, DOUGLASVILLE, GA 30135-8141
(770) 734-3934
(678) 263-4576
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
048-R-1226
GA
Other
Enumeration date
08/31/2019
Last updated
08/31/2019
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