RALPH OGWOTU

RIVERDALE, GA
NPI1144674581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  233148)
Additional Taxonomies163W00000X Registered Nurse
(Licence: GA  RN233148)
Enumeration Date2016-04-22
Last Update Date2024-07-22
Business Address
RALPH OGWOTU
6572 RIVER PARK DR STE 101
RIVERDALE, GA 30274-2214
Phone number: 404-514-3498
Mailing Address
RALPH OGWOTU
110 W PIER WAY
FAYETTEVILLE, GA 30214-4617
Phone number: 404-514-3498