Search › Georgia › 183500000X
Eleanya Agwu
NPI 1891231742 · on the registry since 2017
Practice
- Address
- 261 W Clinton St
Gray, GA 31032 - Phone
- (478) 986-3592
- Fax
- (478) 986-9968
- Organisation at this address
- Ingles Markets Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-01-17
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