Search › Georgia › 364SP0808X
Tina Ezeh
NPI 1740996222 · on the registry since 2023 · sole proprietor
Practice
- Address
- 5945 Azalea Ridge Dr
Douglasville, GA 30135 - Phone
- (770) 882-8673
Registry record
- Primary taxonomy
- 364SP0808X
364SP0808X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-26
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