DR. Mutiat Agbasionwe, MD

NPI #1679142111 in Monroe, Georgia

Provider Information

NPI Number: 1679142111
Entity Type: Individual
Name: DR. Mutiat Agbasionwe, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 19, 2021
Last Updated: Dec 17, 2024

Practice Location

Address: 2161 W SPRING ST STE A
City: Monroe
State: Georgia
ZIP Code: 30655-3196
Phone: (770) 267-8464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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