Individual
DR. ALFRED GODWIN AJISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 MELROSE AVE, NATCHITOCHES, LA 71457-5926
(318) 238-3820
(318) 238-3823
Mailing address
90 MELROSE AVE, NATCHITOCHES, LA 71457-5926
(318) 238-3820
(318) 238-3823
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
324090
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2538501
—
LA
Enumeration date
06/11/2010
Last updated
08/03/2021
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