Individual
MR. FIDELIS ESOSA UWUMIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
SOUTHERN REGIONAL MEDICAL CENTER, 11 UPPER RIVERDALE RD., RIVERDAL, GA 30274
(770) 991-8026
Mailing address
SOUTHERN REGIONAL MEDICAL CENTER, 11 UPPER RIVERDALE RD, RIVERDAL, GA 30274
(770) 991-8026
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
12/12/2024
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