Onyaka Obiaruko Azu
Driver in Mcdonough, GA. Individual provider (NPI-1).
NPI number1730981234
StatusActive
Last updated in NPPESMar 25, 2025
Details
- NPI
- 1730981234
- Entity type
- Individual (NPI-1)
- Name
- Onyaka Obiaruko Azu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2025
- Certification date
- Mar 25, 2025
- Last updated
- Mar 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
| 172A00000X | Driver | 062179528 | GA |
Practice location
595 Gardinia DrMcdonough, GA 30253-3910
Phone 770-374-9726
Mailing address
2020 Avalon Pkwy Ste 360Mcdonough, GA 30253-3088
Phone 770-374-2302
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