Provider Demographics
NPI:1174821334
Name:STERLING-UGORJI, MINETTE M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MINETTE
Middle Name:M
Last Name:STERLING-UGORJI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ROBIN HOOD RD
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-1675
Mailing Address - Country:US
Mailing Address - Phone:912-681-1925
Mailing Address - Fax:912-764-8986
Practice Address - Street 1:500 NORTHSIDE DR E
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-4841
Practice Address - Country:US
Practice Address - Phone:912-489-8683
Practice Address - Fax:912-764-8986
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015170183500000X
DC02366183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist