Provider Demographics
NPI:1265910608
Name:AMOJI, UWA KALU (NP)
Entity type:Individual
Prefix:
First Name:UWA
Middle Name:KALU
Last Name:AMOJI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:UWA
Other - Middle Name:KALU
Other - Last Name:NDUKWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:125 YORK LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-6922
Mailing Address - Country:US
Mailing Address - Phone:404-314-0476
Mailing Address - Fax:
Practice Address - Street 1:125 YORK LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-6922
Practice Address - Country:US
Practice Address - Phone:404-314-0476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-28
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN163591363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily