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Tina Ezeh
Psychiatric/Mental Health Nurse Practitioner in Douglasville, Georgia
NPI 1740996222

Tina Ezeh is a Psychiatric/Mental Health Nurse Practitioner based in Douglasville, GA and is specialized in Psychiatric/Mental Health. Tina Ezeh practices in Douglasville, GA. The NPI Number for Tina Ezeh is 1740996222 and holds a License No. RN259954 (Georgia).

The current practice location address for Tina Ezeh is 5945 Azalea Ridge Dr, Douglasville, GA and can be reached out via phone at 770-882-8673.

Location: 5945 Azalea Ridge Dr, Douglasville, GA, 30154-0022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740996222
Provider Name
Tina Ezeh
Credential
Provider Entity Type
Individual
Gender
Female
Address
5945 Azalea Ridge Dr, Douglasville, GA, 30154-0022
Phone Number
770-882-8673
Fax Number
Provider Enumeration Date
01/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5945 Azalea Ridge Dr
City
Douglasville
State
Georgia
Zip
30135-5590
Phone Number
770-882-8673
Fax Number
person
Provider Business Mailing Address Details
Address
5945 Azalea Ridge Dr
City
Douglasville
State
Georgia
Zip
30135-5590
Phone Number
770-882-8673
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
RN259954 (Georgia)
Definition
Definition to come...
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