Provider Demographics
NPI:1598974719
Name:UYOE, ANIEFIOK IMEH (MD)
Entity Type:Individual
Prefix:
First Name:ANIEFIOK
Middle Name:IMEH
Last Name:UYOE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 MEREDYTH DR STE 450
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-0220
Mailing Address - Country:US
Mailing Address - Phone:229-446-1990
Mailing Address - Fax:229-312-5005
Practice Address - Street 1:2709 MEREDYTH DR STE 450
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707
Practice Address - Country:US
Practice Address - Phone:229-446-1990
Practice Address - Fax:229-312-5005
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01067386A207X00000X
GA081451207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1019101Medicaid
IN200970190Medicaid
IN260810LMedicare PIN
LA4K776CX02Medicare PIN