Individual
AIDENOJIE EROMOSELE IHENYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141
(770) 732-4022
(770) 732-4023
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
74238
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003165193B
—
GA
Enumeration date
05/23/2012
Last updated
11/05/2019
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