Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHISOM CHIJIOKE ODOGWU
Active Sole ProprietorCHISOM CHIJIOKE ODOGWU is a Physician Assistant healthcare provider located in STOCKBRIDGE, Georgia. NPI 1346801362 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · STOCKBRIDGE, GA
Registration Details
- NPI Number
- 1346801362
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2019 (7.1335945135057 yrs)
- Last Updated
- Feb 19, 2024
- License
-
9389 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
135 N PARK PL STE 101STOCKBRIDGE, GA, 302817237Browse GA providers · Browse ZIP 30281
- Phone
- 7707587493
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in STOCKBRIDGE, GA
| Name | Credential | NPI |
|---|---|---|
| GRACE BOGERT | PA-C | 1831195262 |
| MARTHA SIKES | PA-C | 1891791208 |
| A MATTHEW BRUNNER | PA-C | 1811993223 |
| KATHRYN JOAN SHELLEY | P.A. | 1215937578 |
| MS. CYNTHIA ELLEN HUNT | PA-C | 1881687937 |
| SHERRELL MONIQUE FORSTON | PA C | 1518923218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.