Individual
OUANZA ADIKI PUPLAMPU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
740 PRINCE AVE, ATHENS, GA 30606-5909
(706) 549-1111
(706) 549-1122
Mailing address
PO BOX 6005, ATHENS, GA 30604-6005
(706) 549-1111
(706) 549-1122
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
056619
GA
Other
Enumeration date
10/05/2005
Last updated
07/08/2007
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