Individual provider · Type 1 NPI

Samuel Ighodaro

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

NPI number 1184597072 Active

Practice location

1439 Jesse Jewell Pkwy NE Ste 102
Gainesville, GA 30501-3806

Call (770) 219-8730 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 1184597072

Samuel Ighodaro's National Provider Identifier is 1184597072, issued on Sep 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gainesville, GA. The record was last updated on May 25, 2026.