Individual
MRS. ODICIE OKEDA FIELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOODE MEDICAL CENTER, JONESBORO, GA 30236
(626) 817-2496
Mailing address
3495 PEDMONT ROAD, NE, NINE PEIDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002166
GA
207R00000X
Internal Medicine Physician
061065
GA
207RH0003X
Hematology & Oncology Physician
Primary
061065
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002166
LICENSE NUMBER
GA
Enumeration date
01/03/2008
Last updated
02/15/2022
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