Individual
MR. OTOBONG ISIDORE UDOUDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-5050
Mailing address
5901-B PEACHTREE DUNWOODY RD, NE, STE B420, ATLANTA, GA 30328
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN186691
GA
Other
Enumeration date
08/11/2015
Last updated
10/09/2025
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