MRS. IFEOMA EZEH OMOREGIE, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1710396734

Practice Address

1404 RIVER PL STE 501
Braselton, GA 30517

Phone: (770) 534-2020

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X No 7186 (GA)
Physician Assistant - Medical 363AM0700X Yes 7186 (GA)

Frequently Asked Questions

NPI 1710396734 is the National Provider Identifier for MRS. IFEOMA EZEH OMOREGIE, PA-C, a Physician Assistant - Medical provider located in Braselton, GA. This NPI was enumerated on August 4, 2014.
MRS. IFEOMA EZEH OMOREGIE, PA-C practices at 1404 RIVER PL STE 501, Braselton, GA 30517.

Quick Facts

NPI
1710396734
Type
Individual
Enumerated
Aug 4, 2014
Last Updated
Dec 8, 2020

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