Individual provider · Type 1 NPI

Edidiong Raphael Usoro, MD MS PHD

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1114665809 Active

Practice location

1411 Laney Walker Blvd
Augusta, GA 30912-0002

Call (706) 721-6744 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114665809

Edidiong Raphael Usoro, MD MS PHD's National Provider Identifier is 1114665809, issued on May 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on May 24, 2022.