TINA EZEH

DOUGLASVILLE, GA
NPI1740996222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA  RN259954)
Enumeration Date2023-01-27
Last Update Date2023-01-27
Business Address
TINA EZEH
5945 AZALEA RIDGE DR
DOUGLASVILLE, GA 30135-5590
Phone number: 770-882-8673
Mailing Address
TINA EZEH
PO BOX 6296
DOUGLASVILLE, GA 30154-0022
Phone number: 770-882-8673
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