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Mrs. Ifeoma Ezeh Omoregie, PA-C
Medical Physician Assistant in Braselton, Georgia
NPI 1710396734

Ifeoma Ezeh Omoregie is a Medical Physician Assistant based in Atlanta, GA and is specialized in Medical. Ifeoma Ezeh Omoregie practices in Braselton, GA and has the professional credentials of PA-C. The NPI Number for Ifeoma Ezeh Omoregie is 1710396734 and holds a License No. 7186 (Georgia).

The current practice location address for Ifeoma Ezeh Omoregie is 1404 River Pl Ste 501, Braselton, GA and can be reached out via phone at 770-534-2020 and via fax at 770-534-8025.

Location: 1404 River Pl Ste 501, Braselton, GA, 30374-2616
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Provider Profile Details
NPI Number
1710396734
Provider Name
Ifeoma Ezeh Omoregie
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1404 River Pl Ste 501, Braselton, GA, 30374-2616
Phone Number
770-534-2020
Fax Number
770-534-8025
Provider Enumeration Date
08/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1404 River Pl Ste 501
City
State
Zip
30517-5600
Phone Number
770-534-2020
Fax Number
770-534-8025
person
Provider Business Mailing Address Details
Address
1404 River Pl Ste 501
City
State
Zip
30517-5600
Phone Number
770-534-2020
Fax Number
770-534-8025
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
7186 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
7186 (Georgia)
Definition
Definition to come...
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