PROMISE CHIDI

COLUMBUS, GA
NPI1336534122
Former NamePROMISE ANNANDIKE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  78444)
Additional Taxonomies207QA0505X Family Medicine, Adult Medicine
(Licence: GA  78444)
390200000X Student in an Organized Health Care Education/Training Program
207P00000X Emergency Medicine
(Licence: AL  MD.38435)
207Q00000X Family Medicine
(Licence: GA  007739)
207Q00000X Family Medicine
(Licence: GA  078444)
Enumeration Date2015-03-30
Last Update Date2021-01-26
Business Address
PROMISE CHIDI
1900 10TH AVE
COLUMBUS, GA 31901
Phone number: 706-571-1120
Mailing Address
PROMISE CHIDI
1900 10TH AVE
COLUMBUS, GA 31901-3600
Phone number: 706-571-1120