Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALPHONSUS MADUWUBA AGBAERE, MT(ASCP)CLS(NCA)
ActiveALPHONSUS MADUWUBA AGBAERE, MT(ASCP)CLS(NCA) is a 247ZC0005X healthcare provider located in DECATUR, Georgia. NPI 1760626279 is currently active in the NPPES registry. Verify at CMS.
247ZC0005X · DECATUR, GA
Registration Details
- NPI Number
- 1760626279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2009 (17.31989722506 yrs)
- Last Updated
- Apr 28, 2009
- Licenses
-
163311 (GA)163311 (GA)
Practice Information
- Address
-
1670 CLAIRMONT RDDECATUR, GA, 300334004Browse GA providers · Browse ZIP 30033
- Phone
- 4043216111
- Primary Specialty
-
247ZC0005X
247ZC0005X
- Additional Specialty
- 247ZC0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.