Provider Demographics
NPI:1376141093
Name:UZOR, MERCY E
Entity Type:Individual
Prefix:
First Name:MERCY
Middle Name:E
Last Name:UZOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 FLAT SHOALS PKWY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-5210
Mailing Address - Country:US
Mailing Address - Phone:770-322-3138
Mailing Address - Fax:770-322-0214
Practice Address - Street 1:4915 FLAT SHOALS PKWY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-5210
Practice Address - Country:US
Practice Address - Phone:770-322-3138
Practice Address - Fax:770-322-0214
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0162781835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist