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1942244280
BASIL EZENWA
COLUMBUS, GA
NPI
1942244280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 37797)
Enumeration Date
2006-06-16
Last Update Date
2008-03-19
Business Address
-- BASIL EZENWA MD
616 19TH ST
COLUMBUS, GA 31901-1528
Phone number: 904-805-1300
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Mailing Address
-- BASIL EZENWA MD
PO BOX 532724
ATLANTA, GA 30353-2724
Phone number: 904-805-1300
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