Itauma Udosen
Family Doctor Family Doctor - Sports Medicine
2745 Dekalb Medical Pkwy Ste 110
Lithonia
, Georgia 30058-4933
Itauma Udosen
Family Doctor Family Doctor - Sports Medicine
2745 Dekalb Medical Pkwy Ste 110
Lithonia
, Georgia 30058-4933
(770) 593-2382
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Itauma Udosen
- 2745 Dekalb Medical Pkwy Ste 110
- Lithonia, GA
- Zip : 30058-4933
- Phone : (770) 593-2382
Second Address
- Itauma Udosen
- 2745 Dekalb Medical Pkwy Ste 110
- Lithonia, GA
- Zip : 30058-4933
- Fax : (678) 514-2527
- Phone : (770) 593-2382
Reviews
FAQs
Where did Itauma Udosen attend graduate school?
Where did Itauma Udosen do her residency?
Where did Itauma Udosen do her fellowship?
Is Itauma Udosen board certified?
What type of doctor is Itauma Udosen
In what state does Itauma Udosen practice in?
Where is Itauma Udosen ’s practice located?
What is Itauma Udosen ’s gender?
Is Itauma Udosen a sole practitioner?
Is Itauma Udosen accepting new patients?
What languages does Itauma Udosen speak?
Does Itauma Udosen accept insurance?
Does Itauma Udosen offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 078910 | GA |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 78910 | GA |
National Provider Identifier
| NPI | 1265793616 |
|---|---|
| Provider Name | Itauma Udosen |
| First Address | Lithonia, GA 30058-4933 |
| Second Address | Lithonia, GA 30058-4933 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2012 |
| Last Update Date | 06/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.