Madu, Ndidi Eugene
Madu, Ndidi Eugene is an individual health care provider with primary practice located at 1815 Highway 138 Se Ste 800 , Conyers GA 30013-2098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Madu, Ndidi Eugene can be contacted via phone (770) 929-0404.Contact Information
Primary practice address
1815 Highway 138 Se Ste 800
Conyers GA 30013-2098
Phone: (770) 929-0404
Fax: (770) 929-0540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 065703 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 65703 | Georgia |
Profile Details
| NPI number | 1457587842 |
|---|---|
| LBN Legal business name | Madu, Ndidi Eugene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2009 |
| Last updated | Jul 16th, 2020 - about 5 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 | 1457587842 | NPPES |
| Georgia | MEDICAID | 003113173A |
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