Individual
IGWEBUIKE MOSES UDEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3721 NEW MACLAND ROAD, SUITE 200 - 193, POWDER SPRINGS, GA 30127-2000
(404) 693-5565
(920) 212-2048
Mailing address
3721 NEW MACLAND ROAD, SUITE 200 - 193, POWDER SPRINGS, GA 30127-2000
(404) 693-5565
(920) 212-2048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN228894
GA
363LP2300X
Primary Care Nurse Practitioner
RN228894
GA
Other
Enumeration date
12/16/2018
Last updated
11/25/2023
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