Individual
DR. AUGUSTINE H CONDUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8225 MALL PKWY, SUITE 150, LITHONIA, GA 30038-6994
(770) 482-3241
(770) 482-3243
Mailing address
8225 MALL PKWY, SUITE 150, LITHONIA, GA 30038-6994
(770) 482-3241
(770) 482-3243
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD.28762
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
60818
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A86976
CA
Other
Enumeration date
05/31/2007
Last updated
12/20/2023
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