Ejifoma, Mary O
Ejifoma, Mary O is an individual health care provider with primary practice located at 3070 N Main St Nw , Kennesaw GA 30144-2756. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ejifoma, Mary O can be contacted via phone (770) 420-1092.Contact Information
Primary practice address
3070 N Main St Nw
Kennesaw GA 30144-2756
Phone: (770) 420-1092
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN120872 | Georgia |
Profile Details
| NPI number | 1356329411 |
|---|---|
| LBN Legal business name | Ejifoma, Mary O |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2006 |
| Last updated | Jul 7th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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