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Contact Information

IKENNA OZUMBA
3650 STEVE REYNOLDS BLVD
DULUTH, GA30096-4506
 Phone: 770-931-6134
 Fax: 770-931-6403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

1835P2201X
Indicates primary specialty

NPI Profile & details for IKENNA OZUMBA · (Male)

NPI Number 1518813526
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2026
Last updated 03/10/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • GA License # RPH026527
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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