Individual
EKA NDEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 10TH AVE, SUITE 100, COLUMBUS, GA 31901-3600
(706) 571-1430
(706) 571-1604
Mailing address
9 PORCHESTER CT, COLUMBUS, GA 31907-7014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84084
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
10/25/2019
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