MADU MEDICAL GROUP P.C. NPI 1457753972

NPI Information

NPI: 1457753972
Provider Name: MADU MEDICAL GROUP, P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1815 HIGHWAY 138 SE STE 800
CONYERS, GA
ZIP 30013
Phone: (770) 929-0404
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MADU MEDICAL GROUP, P.C. is a primary care clinic center in Conyers, GA. MADU MEDICAL GROUP, P.C. NPI is 1457753972. The provider is registered as an organization entity type.

The provider's business location address is:

1815 HIGHWAY 138 SE STE 800
CONYERS, GA
ZIP 30013-098
Phone: (770) 929-0404
Fax: (770) 929-0540

The provider's authorized official is Ndidi Eugene Madu .
The authorized official title is President and has the following contact phone number (317) 946-0591.

The enumeration date for this NPI number is 9/16/2014 and was last updated on 9/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	65703	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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