BASIL EZENWA

COLUMBUS, GA
NPI1942244280
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: GA  37797)
Enumeration Date2006-06-16
Last Update Date2008-03-19
Business Address
-- BASIL EZENWA MD
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 904-805-1300
Mailing Address
-- BASIL EZENWA MD
PO BOX 532724
ATLANTA, GA 30353-2724
Phone number: 904-805-1300
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