Sunday Imafidon

NPI 1801487293 · on the registry since 2021 · sole proprietor

Practice

Address: 619 S 8th St Ste 301
Griffin, GA 30224
Phone: (770) 229-6072
Fax: (770) 229-2111
Organisation at this address: Peach State Nephrology
Griffin Center For Pain And Spine
Laboratory Corporation Of America Holdings
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-04-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia