Provider Demographics
NPI:1801093216
Name:AHUAMA, BLESSING CHIOMA
Entity type:Individual
Prefix:
First Name:BLESSING
Middle Name:CHIOMA
Last Name:AHUAMA
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 1:4083 AKINS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-3274
Mailing Address - Country:US
Mailing Address - Phone:248-837-9371
Mailing Address - Fax:
Practice Address - Street 1:4083 AKINS RIDGE CT
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-3274
Practice Address - Country:US
Practice Address - Phone:248-837-9371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000913251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health