Individual provider · Type 1 NPI
Scholar Ibezim
Hospice Registered Nurse · Lawrenceville, GA
NPI number
1184257404
Active
Practice location
2272 Azalea Dr Ste A
Lawrenceville, GA 30043-2653
Other practice locations
- 5750 Brook Hollow Pkwy Ste 102, Norcross, GA 30071-3515 · (770) 680-4340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Registered Nurse Primary | 163WH1000X | 138544 (GA) |
Hospice Registered Nurse: Definition to come...
Another provider at this address
About NPI 1184257404
Scholar Ibezim's National Provider Identifier is 1184257404, issued on Feb 14, 2020. The primary taxonomy on file is Hospice Registered Nurse (163WH1000X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 19, 2021.