Ezeh Omoregie, Ifeoma

Ezeh Omoregie, Ifeoma is an individual health care provider with primary practice located at 1404 River Pl Ste 501 , Braselton GA 30517-5600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Ezeh Omoregie, Ifeoma can be contacted via phone (770) 534-2020.

Contact Information

Primary practice address
1404 River Pl Ste 501 Braselton GA 30517-5600
Phone: (770) 534-2020
Fax: (770) 534-8025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 7186 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 7186 Georgia

Profile Details

NPI number 1710396734
LBN Legal business name Ezeh Omoregie, Ifeoma
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2014
Last updated Dec 8th, 2020 - about 5 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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