Search › Georgia › 213ES0103X
Kibibi Wanzu
NPI 1043689623 · on the registry since 2015
Practice
- Address
- 366 Racetrack Rd
Mcdonough, GA 30252 - Phone
- (470) 781-5585
- Fax
- (470) 781-5586
- Organisation at this address
- Modern Podiatry, Llc
Ronald D Patrick Md LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 730 S 8th St, Griffin, GA
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213E00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia