Tina Chinwenwa Ezeh
NPI #1740996222 in Douglasville, Georgia
Provider Information
- NPI Number
- 1740996222
- Entity Type
- Individual
- Name
- Tina Chinwenwa Ezeh
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Nurse Specialist - Psychiatric/Mental Health
- Enumeration Date
- Jan 27, 2023
- Last Updated
- Aug 26, 2025
Practice Location
- Address
- 5945 AZALEA RIDGE DR
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-5590
- Phone
- (770) 882-8673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist - Psychiatric/Mental Health — Psychiatric/Mental Health |
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