Individual
KELECHUKWU C ANYANWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1790 PRESIDENTIAL CIR STE C, SNELLVILLE, GA 30078-5688
(404) 251-4890
Mailing address
1790 PRESIDENTIAL CIR STE C, SNELLVILLE, GA 30078-5688
(404) 251-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92146
GA
2083P0901X
Public Health & General Preventive Medicine Physician
92146
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92146
GA MEDICAL LICENSE
GA
Enumeration date
03/27/2019
Last updated
09/10/2024
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