MEDICARE: AKUDO ESEKHEIGBE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH024165	GA

General Provider Information

NPI Number	:	1437750833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKUDO ESEKHEIGBE

Provider Business Mailing Address
First Line	:	2982 BRIDGE VALLEY CT
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30039-7305
Country	:	US
Telephone Number	:	404-435-9372
Fax Number	:

Provider Business Practice Location Address
First Line	:	8424 MALL PKWY
Second Line	:
City	:	LITHONIA
State	:	GA
Zip	:	30038-2979
Country	:	US
Telephone Number	:	770-225-0934
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	11/03/2020

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Directions to “ AKUDO ESEKHEIGBE ” Practice Location

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