Individual
ANIEKEME ODUDU EDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5370 LAUREL SPRINGS PKWY, SUWANEE, GA 30024-6027
(678) 760-5292
Mailing address
5370 LAUREL SPRINGS PKWY, SUWANEE, GA 30024-6027
(678) 760-5292
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04220138
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN283131
SECRETARY OF STATE
GA
Enumeration date
07/20/2022
Last updated
12/12/2023
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