Individual
FREEBIE OVWE UKPEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
1365 ROCK QUARRY RD, SUITE 102, STOCKBRIDGE, GA 30281-5029
(678) 284-6314
(678) 284-6282
Mailing address
1365 ROCK QUARRY RD, SUITE 102, STOCKBRIDGE, GA 30281-5029
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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