Individual
IDOPISE E. UMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5875 THOMPSON MILL RD, STE. 200, HOSCHTON, GA 30501
(770) 848-6140
(770) 848-6141
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
062295
GA
207R00000X
Internal Medicine Physician
ME96600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000271500
—
FL
05
—
412501237A
—
GA
Enumeration date
05/19/2008
Last updated
10/13/2020
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