Individual
IRENE SELE AGEDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 WINDY CIR, MCDONOUGH, GA 30253-8000
(678) 938-7038
Mailing address
216 WINDY CIR, MCDONOUGH, GA 30253-8000
(678) 938-7038
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
250564
GA
2084P0802X
Addiction Psychiatry Physician
250564
GA
2084P0804X
Child & Adolescent Psychiatry Physician
250564
GA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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