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Individual

UYOYO OMADUVIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1790 MULKEY RD STE 510, AUSTELL, GA 30106-1122
(470) 267-2000
(470) 986-7056
Mailing address
1790 MULKEY RD STE 510, AUSTELL, GA 30106-1122
(470) 267-2000
(470) 986-7056

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102708
GA
207R00000X
Internal Medicine Physician
294780
MA

Other

Enumeration date
04/29/2019
Last updated
04/17/2025
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