Individual
MR. IKE UZODINMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 DANNON VW SW STE 3204, ATLANTA, GA 30331-2161
(404) 210-5109
Mailing address
920 DANNON VW SW STE 3204, ATLANTA, GA 30331-2161
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
RPH015935
GA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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