Search › Georgia › 363LF0000X
Mariagorrathy Ejike
NPI 1740845635 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6224 Heavenwood Way
Douglasville, GA 30135 - Phone
- (404) 934-6981
Additional practice sites
- 1842 S Carisbrook Pl, Austell, GA
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-11
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