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

Joffy S Vadakkedam

Individual provider Licensed Practical Nurse · NPI 1629692165

Joffy S Vadakkedam is a Licensed Practical Nurse in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Phone: (678) 209-2394
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 090341 (GA)

Record details

NPI number1629692165
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020

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