Individual
CHRISTIAN IDEHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2296 HENDERSON MILL RD NE STE 116, ATLANTA, GA 30345-2739
(404) 861-7176
Mailing address
2296 HENDERSON MILL RD NE STE 116, ATLANTA, GA 30345-2739
(404) 861-7176
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
GA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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