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Alexander Ibezi-Enendu, D.O
NPI 1154615979 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2809 Pine St
Unadilla, GA 31091 - Phone
- (478) 355-3000
- Fax
- (478) 355-3001
- Organisation at this address
- Taylor Regional Hospital
Taylor Regional Hospital
Malozera Primary Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 222 Perry Hwy, Hawkinsville, GA
- 604 Bluebird Blvd, Fort Valley, GA
- 200 S Kimberly Rd, Warner Robins, GA
- 292 Industrial Blvd Ste 300, Hawkinsville, GA
- 801 Elberta Rd, Warner Robins, GA
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Emergency Medicine Physician
- Licence states on file
- MI, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-18
- Status
- Not present in the most recent federal file
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