Organization
MADU MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NDIDI EUGENE MADU D.O. (PRESIDENT)
(317) 946-0591
Entity
Organization
Contact information
Practice address
1815 HIGHWAY 138 SE STE 800, CONYERS, GA 30013-2098
(770) 929-0404
(770) 929-0540
Mailing address
PO BOX 83042, CONYERS, GA 30013-8014
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
65703
GA
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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