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Search › Georgia › 183500000X

Ebosetale Ikheloa

NPI 1457170649 · on the registry since 2024 · sole proprietor

Practice

Address
2550 Blackmon Dr Apt 3211
Decatur, GA 30033
Phone
(706) 351-0246
Organisation at this address
Design Scratch
Fas Customs Llc
Ssfs Consulting Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-07

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