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

Individual provider Parenteral & Enteral Nutrition Supplies (DME) · NPI 1851539191

Solomon B. Udo, CEO is a Parenteral & Enteral Nutrition Supplies (DME) in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

3102 Perch Overlook SW
Marietta, GA 30008-5977
Phone: (404) 274-7465
Fax: (770) 726-7245
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Specialties & licences

Parenteral & Enteral Nutrition Supplies (DME) (primary) Taxonomy 332BP3500X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X (GA)

Record details

NPI number1851539191
Entity typeIndividual (Type 1)
GenderMale
Credentials CEO
Sole proprietorYes
NPI enumeratedJanuary 23, 2009
Last updated in NPPESJanuary 23, 2009
Mailing address3102 Perch Overlook Sw, Marietta, GA 30008-5977

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