Individual
DR. STEPHEN OTIENO AWUOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214-2110
(770) 716-0051
Mailing address
1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214-2110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
99684
GA
207RC0000X
Cardiovascular Disease Physician
036.150090
IL
207RC0000X
Cardiovascular Disease Physician
99684
GA
207RI0011X
Interventional Cardiology Physician
036.150090
IL
207RI0011X
Interventional Cardiology Physician
Primary
99684
GA
Other
Enumeration date
06/14/2012
Last updated
10/03/2024
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