Search › Georgia › 363A00000X
Enoma Evbuomwan
NPI 1578954640 · on the registry since 2015
Practice
- Address
- 1400 Veterans Memorial Hwy Se # 563
Mableton, GA 30126 - Phone
- (470) 600-8494
Additional practice sites
- 500 Nathan Dean Blvd Ste 105, Dallas, GA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-17
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