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Guwoin Ingram Jr

NPI 1063235679 · on the registry since 2024

Practice

Address
2210 Holly Springs Pkwy Ste 100
Canton, GA 30115
Phone
(770) 562-5446

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia