Provider Demographics
NPI:1346854866
Name:GBEVE, NUNYA AYOVI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NUNYA
Middle Name:AYOVI
Last Name:GBEVE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4080 BLOOMFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-3643
Mailing Address - Country:US
Mailing Address - Phone:478-781-6821
Mailing Address - Fax:478-781-5950
Practice Address - Street 1:4080 BLOOMFIELD RD
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-3643
Practice Address - Country:US
Practice Address - Phone:478-781-6821
Practice Address - Fax:478-781-5950
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44399183500000X
GARPH032778183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist