Individual provider · Type 1 NPI

Idorenyin Eka-Imo Ndem, MD

Plastic and Reconstructive Surgery Physician · Atlanta, GA

NPI number 1154811958 Active

Practice location

1001 Johnson Ferry Rd
Atlanta, GA 30342-1605

Mailing address

975 Johnson Ferry Rd Ste 100
Atlanta, GA 30342-1618

Other practice locations

  • 101 Manning Dr, Chapel Hill, NC 27514-4220 · (919) 966-4446

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X238506 (NC)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X100641 (GA)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1154811958

Idorenyin Eka-Imo Ndem, MD's National Provider Identifier is 1154811958, issued on May 16, 2018. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2024.