Dr. MUTIAT AGBASIONWE MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1679142111- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2161 W SPRING ST STE A, MONROE, GA, 306553196
- Phone
- (770) 267-8464
Specialties & Taxonomies
Family Medicine
Primary License: GA #98698
All Addresses
MAILING
6303 TIMBER VALLEY WAY SW
OAKWOOD, GA, 305660220