Individual
HADIL ODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH STAUGUSTAGA 30912, AUGUSTA, GA 30912-0001
(706) 721-4924
Mailing address
1040 ALEXANDER DR APT 6322, AUGUSTA, GA 30909-0291
(404) 493-3023
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
18221
GA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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