Individual
AKPOMUDIARE SAMUEL OTUGUOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 N CENTRAL AVE, HAPEVILLE, GA 30354-1603
(404) 761-4040
(404) 761-4008
Mailing address
535 N CENTRAL AVE, HAPEVILLE, GA 30354-1603
(404) 761-4040
(404) 761-4008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.38189
AL
207Q00000X
Family Medicine Physician
Primary
38788
IA
207Q00000X
Family Medicine Physician
4301086102
MI
207Q00000X
Family Medicine Physician
65599
GA
208M00000X
Hospitalist Physician
38189
AL
Other
Enumeration date
05/07/2007
Last updated
02/20/2020
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