Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edidiong Raphael Usoro, MDMSPHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114665809

Edidiong Raphael Usoro, MDMSPHD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1411 Laney Walker Blvd
Augusta, GA 30912-0002
Phone: (706) 721-6744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114665809
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDMSPHD
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022
Mailing address1411 Laney Walker Blvd, Augusta, GA 30912-0002

Other providers in Augusta