Individual
MALACHY IKECHUKWU IJEMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S 3RD ST, GADSDEN, AL 35901-5304
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 863535, ORLANDO, FL 32886-3535
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19349
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009924260
—
AL
01
—
51555561
BLUE CROSS
AL
Enumeration date
05/25/2006
Last updated
07/14/2008
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