Provider Demographics
NPI:1992692883
Name:AMUZIE, VICTOR
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:
Last Name:AMUZIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4890 GOLDEN FINCH LN SW
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-4003
Mailing Address - Country:US
Mailing Address - Phone:678-852-3784
Mailing Address - Fax:404-907-4366
Practice Address - Street 1:4890 GOLDEN FINCH LN SW
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-4003
Practice Address - Country:US
Practice Address - Phone:678-852-3784
Practice Address - Fax:404-907-4366
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN234427163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse