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Kodjo Vivien Aziamadji
Nurse Practitioner in Covington, Georgia
NPI 1134703705

Kodjo Vivien Aziamadji is a Nurse Practitioner based in Lithonia, GA. Kodjo Vivien Aziamadji practices in Covington, GA. The NPI Number for Kodjo Vivien Aziamadji is 1134703705 and holds a License No. RN242817 (Georgia).

The current practice location address for Kodjo Vivien Aziamadji is 6238 Turner Lake Rd Sw, Covington, GA and can be reached out via phone at 470-971-2118.

Location: 6238 Turner Lake Rd Sw, Covington, GA, 30058-7007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134703705
Provider Name
Kodjo Vivien Aziamadji
Credential
Provider Entity Type
Individual
Gender
Male
Address
6238 Turner Lake Rd Sw, Covington, GA, 30058-7007
Phone Number
470-971-2118
Fax Number
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134703705 05 GA
institution
Provider Business Practice Location Address Details
Address
6238 Turner Lake Rd Sw
City
Covington
State
Georgia
Zip
30014-3057
Phone Number
470-971-2118
Fax Number
person
Provider Business Mailing Address Details
Address
6238 Turner Lake Rd Sw
City
Covington
State
Georgia
Zip
30014-3057
Phone Number
470-971-2118
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
RN242817 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN242817 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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