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Idorenyin Ndem, MD — NPI 1154811958, Atlanta, GA | NPI Central

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NPI 1154811958

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Idorenyin Ndem, MD

NPI 1154811958 · Plastic and Reconstructive Surgery Physician · Atlanta, GA

Provider details

NPI number: 1154811958
Entity type: Individual
Primary specialty: Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: Yes
License: 238506 (NC)

Specialties & taxonomies

Plastic and Reconstructive Surgery PhysicianPrimary2086S0122XLicense 100641 (GA)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000XLicense 238506 (NC)
Student, Health Care

Practice location

1001 Johnson Ferry Rd

Atlanta, GA 30342-1605

Phone: (404) 785-7792

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

975 Johnson Ferry Rd Ste 100

Atlanta, GA 30342-1618

Additional practice locations (1)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone: (919) 966-4446
Fax: (919) 966-3814

Registry dates

Enumerated: 2018-05-16
Last updated: 2024-07-08
Certified: 2024-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.