Aziamadji, Kodjo Vivien

Aziamadji, Kodjo Vivien is an sole proprietor health care provider with primary practice located at 6238 Turner Lake Rd Sw , Covington GA 30014-3057. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Aziamadji, Kodjo Vivien can be contacted via phone (470) 971-2118.

Contact Information

Primary practice address
6238 Turner Lake Rd Sw Covington GA 30014-3057
Phone: (470) 971-2118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X RN242817 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN242817 Georgia

Profile Details

NPI number 1134703705
LBN Legal business name Aziamadji, Kodjo Vivien
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2021
Last updated Dec 16th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134703705 NPPES
Georgia MEDICAID 1134703705

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