Individual
CHIDUZIEM ONYEDIMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11375 CORTEZ BLVD FL 1, BROOKSVILLE, FL 34613-5409
(352) 597-3072
Mailing address
1213 KENDAL CT, AUGUSTA, GA 30907-4760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13762
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
03/20/2023
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