Individual
NDUKA VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 228-2721
Mailing address
601 S 8TH ST, GRIFFIN, GA 30224-4213
(770) 228-2721
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
105355
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/25/2017
Last updated
11/04/2025
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