Individual
DR. IMO FRIDAY NDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4111 OLD PETERSBURG RD, PATHWAY TO WELLNESS CENTER,PC, AUGUSTA, GA 30907-3346
(706) 228-2929
(706) 228-9996
Mailing address
4111 OLD PETERSBURG RD, AUGUSTA, GA 30907-3346
(706) 228-2929
(706) 228-9996
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
060968
GA
Other
Enumeration date
07/18/2008
Last updated
03/28/2012
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