Individual
ANNA MARIE KODAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2703 WASHINGTON RD, AUGUSTA, GA 30909-2244
(706) 737-4939
Mailing address
2703 WASHINGTON RD, AUGUSTA, GA 30909-2244
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN.27926
SC
363LF0000X
Family Nurse Practitioner
Primary
RN222944
GA
Other
Enumeration date
11/03/2020
Last updated
11/30/2023
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