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Individual

DR. CHIDEBELU ENYINNAYA UFODIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, DPH

Contact information

Practice address
1550 KENNESAW DUE WEST RD NW, KENNESAW, GA 30152-4338
(770) 423-9525
(770) 423-1019
Mailing address
1550 KENNESAW DUE WEST RD NW, KENNESAW, GA 30152-4338
(770) 423-9525
(770) 423-1019

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
17848
MD
183500000X
Pharmacist
Primary
RPH022928
GA

Other

Enumeration date
05/16/2008
Last updated
05/16/2008
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