Ezeh, Tina
Ezeh, Tina is an sole proprietor health care provider with primary practice located at 5945 Azalea Ridge Dr , Douglasville GA 30135-5590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ezeh, Tina can be contacted via phone (770) 882-8673.Contact Information
Primary practice address
5945 Azalea Ridge Dr
Douglasville GA 30135-5590
Phone: (770) 882-8673
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN259954 | Georgia |
Profile Details
| NPI number | 1740996222 |
|---|---|
| LBN Legal business name | Ezeh, Tina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2023 |
| Last updated | Jan 27th, 2023 - about 3 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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