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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134703705 | NPPES |
Georgia | MEDICAID | 1134703705 |
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