MUTIAT AGBASIONWE

MONROE, GA
NPI1679142111
Former NameMUTIAT ENIKANOLAIYE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  98698)
Enumeration Date2021-06-19
Last Update Date2024-12-17
Business Address
Dr. MUTIAT AGBASIONWE MD
2161 W SPRING ST STE A
MONROE, GA 30655-3196
Phone number: 770-267-8464
Mailing Address
Dr. MUTIAT AGBASIONWE MD
6303 TIMBER VALLEY WAY SW
OAKWOOD, GA 30566-0220
Phone number:
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