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EDIDIONG RAPHAEL USORO MD MS PHD
NPI 1114665809
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since May 24, 2022
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912(706) 721-6744 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edidiong Raphael Usoro Md Ms Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDIDIONG RAPHAEL USORO MD MS PHD (NPI 1114665809) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1114665809
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEDIDIONG RAPHAEL USOROCredential: MD MS PHD
Location Address1411 LANEY WALKER BLVDAugusta, GA 30912-0002
Mailing Address1411 Laney Walker BlvdAugusta, GA 30912-0002
Phone(706) 721-6744
Sole ProprietorNo
Enumeration DateMay 24, 2022
NPPES CertifiedMay 24, 2022
✔ NPI 1114665809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1411 LANEY WALKER BLVD, Augusta, GA 30912
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH DEEN
Dietitian, Registered
1411 LANEY WALKER BLVD, AN1301
AUGUSTA, GA 30912
Richmond County (706) 721-0507
MISS MADELEINE NICOLE TJOELKER MS, CGC
Genetic Counselor, MS
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (067) 211-6767
PRIYANKA RAVAL
Internal Medicine (Hematology & Oncology)
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-6744
JACEY LAINE DEVAUGHN NP
Nurse Practitioner (Family)
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-2505
MISS RANDALYNN ELMORE HAJEK RD
Dietitian, Registered
1411 LANEY WALKER BLVD, AN1301
AUGUSTA, GA 30912
Richmond County (706) 721-0507
LAUREN MULLINAX MCCLURE PA-C
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-6744
KATHERINE LORRAINE FOSS PA-C
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-6744
MS. RESHMA THANKAM BENNY PA-C
Physician Assistant
1411 LANEY WALKER BLVD
AUGUSTA, GA 30912
Richmond County (706) 721-6744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edidiong Usoro's NPI number?

The NPI number for Edidiong Usoro is 1114665809. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Edidiong Usoro located?

Edidiong Usoro practices at 1411 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-6744.

What is Edidiong Usoro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Edidiong Usoro was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.