Josephine T Ediale, M.D.

NPI #1902880842 in Villa Rica, Georgia

Provider Information

NPI Number
1902880842
Entity Type
Individual
Name
Josephine T Ediale, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Credential
M.D.
Enumeration Date
Dec 5, 2005
Last Updated
Oct 7, 2014

Practice Location

Address
626 DALLAS HWY
State
Georgia
ZIP Code
30180-1209
Phone
(770) 459-9378

Specialties & Taxonomy Codes

Specialty
Pediatrics

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Organizations

Provider Name
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