Individual
ESI CUDJOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
354 NEWNAN CROSSING BYP STE 200, NEWNAN, GA 30265-2434
(770) 460-4747
Mailing address
900 CIRCLE 75 PKWY SE STE 1700, ATLANTA, GA 30339-3087
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN204222
GA
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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