Search › Georgia › 106S00000X
Iyanu Kofoworade, RBT
NPI 1487369823 · on the registry since 2023
Practice
- Address
- 10744 Misty Meadows Ct
Hampton, GA 30228 - Phone
- (678) 702-3117
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-19
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