Individual
LOUIS A. UWAGERIKPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3332 BEMISS RD, VALDOSTA, GA 31605-7014
(229) 247-9833
(229) 247-9835
Mailing address
PO BOX 3103, VALDOSTA, GA 31604-3103
(229) 247-9833
(229) 247-9835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56779
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237806355A
—
GA
05
—
64109622
—
KY
Enumeration date
05/30/2006
Last updated
01/28/2008
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