PROSPER I IGBOELI

EVANS, GA
NPI1215453881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: NY  202500)
Enumeration Date2017-08-16
Last Update Date2022-07-21
Business Address
PROSPER I IGBOELI
1417 AYLESBURY DR
EVANS, GA 30809-8214
Phone number: 440-796-7593
Mailing Address
PROSPER I IGBOELI
1417 AYLESBURY DR
EVANS, GA 30809-8214
Phone number: 440-796-7593