Provider Demographics
NPI:1407091267
Name:UYA, JOY EKPO (DO)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:EKPO
Last Name:UYA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:IFIOK
Other - Last Name:EKPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:10945 STATE BRIDGE RD STE 401-191
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-8164
Mailing Address - Country:US
Mailing Address - Phone:972-813-9372
Mailing Address - Fax:
Practice Address - Street 1:10945 STATE BRIDGE RD STE 401-191
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-8164
Practice Address - Country:US
Practice Address - Phone:972-813-9372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-09
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4755207Q00000X
TXP4307207Q00000X
390200000X
GA78329207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program