HomeNPI Verification

NPI Verification

National Provider Identifier: 1679142111

Mutiat Agbasionwe, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

2161 W SPRING ST STE A

MONROE, GA 306553196

Phone: 770-267-8464

NPI Enumeration Date

June 19, 2021

NPI Number

1679142111

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry