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Individual

DR. BROWN NNAMDI EKELEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
770 PINE ST, SUITE 550, MACON, GA 31201-2173
(478) 746-2719
(478) 746-4808
Mailing address
770 PINE ST, SUITE 550, MACON, GA 31201-2173
(478) 746-2719
(478) 746-4808

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
025151
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
319775
WELLCARE OF GEORGIA NUMBE
GA
Enumeration date
06/02/2006
Last updated
07/09/2007
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