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

Samuel Ighodaro

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184597072

Samuel Ighodaro is a Student in an Organized Health Care Education/Training Program in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

1439 Jesse Jewell Pkwy NE Ste 102
Gainesville, GA 30501-3806
Phone: (770) 219-8730
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 (GA)

Record details

NPI number1184597072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2025
Last updated in NPPESMay 25, 2026
Certification dateMay 25, 2026
Mailing address1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501-3806

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