Individual
AGATHA A CHUKWUMERIJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1930 FULTON RD NW, SUITE 101, CANTON, OH 44709-3526
(330) 454-9766
(330) 454-3438
Mailing address
PO BOX 80690, CANTON, OH 44708
(330) 833-5530
(330) 833-6085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067956
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121988
—
OH
Enumeration date
08/21/2006
Last updated
11/02/2007
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