Samuel Kissiedu

NPI #1235917154 in Chamblee, Georgia

Provider Information

NPI Number
1235917154
Entity Type
Individual
Name
Samuel Kissiedu
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Sep 20, 2023
Last Updated
Sep 20, 2023

Practice Location

Address
6102 JEFFERSON CIR S
State
Georgia
ZIP Code
30341-2661
Phone
(321) 274-5712

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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