Ambrosia Functional Medicine LLC
Family Medicine in Austell, GA. Organization (NPI-2).
NPI number1073270997
StatusActive
Last updated in NPPESMar 17, 2025
Details
- NPI
- 1073270997
- Entity type
- Organization (NPI-2)
- Legal business name
- Ambrosia Functional Medicine LLC
- Organization subpart
- No
- Enumeration date
- Nov 27, 2021
- Certification date
- Mar 17, 2025
- Last updated
- Mar 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1668 Mulkey Rd Ste GAustell, GA 30106-1163
Phone 404-585-4964 · Fax 404-581-5838
Mailing address
5878 Graywood Cir SeMableton, GA 30126-2894
Phone 404-585-4964 · Fax 404-581-5838
Authorized official
Chibuzor Steve Eke
Managing Partner
4045854964
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Austell, GA
- A Plus ClinicNPI 1477158541
- Gislaine Bernabe, MDNPI 1205414091
- Community Holistic Advanced Practice Nurses (Chapn) LLCNPI 1992253322
- Dr. Evelyn Akinsanmi Darius, m.d.NPI 1124219696
- Dr. Erica Judge Edwards, M.D.NPI 1184061731
- Dr. Chibuzor Steve Eke, MBBCh, MPH, MSN, FNPNPI 1134670474
- Bonnie P Ellenoff, DONPI 1306907001
- Ivy Akua Fenin, NPNPI 1780039131
- Jennifer Nicole Garrett, PA-CNPI 1013157569
- Dr. Arnold Dollar Gaskin, M.D.NPI 1588703730
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.