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● Active Type 2 · Organization

Christian M Ezekwueche

Specialist·MacOn, GA· NPI 1669590725 · Enumerated 2007 · 19 years on NPI
Christian M Ezekwueche is 1 of 1881 specialist organizations in Georgia.
NPI age
19 years
Enumerated 2007-03-27
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brown
Office Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 1881 active specialist providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
770 Pine St, Suite 560
MacOn, GA 312012173
📞 4787415155fax 4787469682
Mailing address
770 Pine St, Suite 560
MacOn, GA 312012173
📞 4787415155fax 4787469682

Authorized official

Panetta Brown
Office Manager
📞 4787415155

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Other Service Providers › Specialist
  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #024808GA license #056574 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 00259949A

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Specialist organizations in Georgia
→ Georgia hub
About this specialty
→ Specialty guide