Individual
DR. WILLIAM NTIAMOAH ODURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601-A PROFESSIONAL DRIVE, SUITE 290, LAWRENCEVILLE, GA 30045-8720
(770) 338-8331
(770) 338-9499
Mailing address
601-A PROFESSIONAL DRIVE, SUITE 290, LAWRENCEVILLE, GA 30045-8720
(770) 338-8331
(770) 338-9499
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
52215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621555898A
—
GA
Enumeration date
10/12/2006
Last updated
07/08/2007
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