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Individual

DR. INUKA MIDHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD MPH MCHES CDCES

Contact information

Practice address
1404 MONTREAL ROAD EAST, TUCKER, GA 30084
(770) 492-8665
Mailing address
2680 LAWRENCEVILLE HWY STE 100, DECATUR, GA 30033-2526

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
13916
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32310526
CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST
GA
Enumeration date
12/05/2017
Last updated
07/16/2025
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