Individual
DR. KINGSLEY IWUDIBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
371 E PACES FERRY RD NE STE 640, ATLANTA, GA 30305-2372
(470) 377-6400
Mailing address
371 E PACES FERRY RD NE STE 640, ATLANTA, GA 30305-2372
(470) 377-6400
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
RPH028300
GA
Other
Enumeration date
08/05/2022
Last updated
06/16/2023
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