Individual
CHISOM CHIJIOKE ODOGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 N PARK PL STE 101, STOCKBRIDGE, GA 30281-7237
(770) 758-7493
Mailing address
135 N PARK PL STE 101, STOCKBRIDGE, GA 30281-7237
(770) 758-7493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9389
GA
Other
Enumeration date
06/21/2019
Last updated
02/19/2024
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