Individual
DR. SUSAN UCHENNA OTALUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-5000
Mailing address
31 COLE LN, ACWORTH, GA 30101-2745
(770) 377-8572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85850
GA
207RP1001X
Pulmonary Disease Physician
08523334
TX
Other
Enumeration date
04/07/2016
Last updated
07/14/2020
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