Individual
SOLOMON B. UDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
3102 PERCH OVERLOOK SW, MARIETTA, GA 30008-5977
(404) 274-7465
(770) 726-7245
Mailing address
3102 PERCH OVERLOOK SW, MARIETTA, GA 30008-5977
(404) 274-7465
(770) 726-7245
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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