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Search › Georgia › 208000000X

Josephine Ediale, M.D

NPI 1902880842 · on the registry since 2005

Practice

Address
626 Dallas Hwy
Villa Rica, GA 30180
Phone
(770) 459-9378
Fax
(770) 459-8613
Organisation at this address
Westcare Villa Rica Pediatrics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
208000000X
208000000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-07

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