Individual
IRMA WEJULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6416 PEAKE ROAD, #18, MACON, GA 31210
(478) 238-5577
(478) 238-6575
Mailing address
6416 PEAKE RD, #18, MACON, GA 31210-3900
(478) 238-5577
(478) 238-6575
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POD001154
STATE LICENSE
GA
Enumeration date
06/22/2009
Last updated
01/09/2017
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