Individual
MRS. ANGELA CUDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-A, HEALTH COACH
Contact information
Practice address
6820 VICTORY RUN, ALPHARETTA, GA 30005-3002
(404) 388-7235
Mailing address
7778 MCGINNIS FERRY ROAD, PMB 303, SUWANEE, GA 30024-2564
(404) 388-7235
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
GA
367H00000X
Anesthesiologist Assistant
1255
NC
367H00000X
Anesthesiologist Assistant
6865
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135897A
—
GA
05
—
003135897B
—
GA
05
—
003135897C
—
GA
05
—
003135897D
—
GA
01
—
01869603
AMERIGROUP
GA
Enumeration date
07/11/2011
Last updated
12/06/2023
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