Individual
DR. STACEY IKEBUDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2985 MACK DOBBS RD NW, KENNESAW, GA 30152-2641
(770) 914-0116
(770) 955-4278
Mailing address
PO BOX 746765, ATLANTA, GA 30374-6765
(770) 914-0116
(770) 955-4278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41924
AL
207R00000X
Internal Medicine Physician
Primary
91580
GA
Other
Enumeration date
04/15/2019
Last updated
04/02/2026
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