Individual
DOMINIC IKWUME ASIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
9280 HIGHWAY 5 STE E, DOUGLASVILLE, GA 30134-1501
(770) 635-8163
Mailing address
9280 HIGHWAY 5, STE E, DOUGLASVILLE, GA 30134-1501
(770) 635-8163
(770) 635-8254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
031871
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000406777Y
—
GA
05
—
000406777Z
—
GA
Enumeration date
06/16/2006
Last updated
04/24/2024
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