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Individual

TIMOTHY N UDOJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 WHITCHER ST NE, SUITE 160, MARIETTA, GA 30060-1155
(770) 422-1372
(770) 423-9651
Mailing address
55 WHITCHER ST NE, SUITE 160, MARIETTA, GA 30060-1155
(770) 422-1372
(770) 423-9651

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
62617
GA
207RP1001X
Pulmonary Disease Physician
35.121875
OH
207RP1001X
Pulmonary Disease Physician
Primary
62617
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
OH
Enumeration date
01/04/2007
Last updated
09/30/2019
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