Individual
CHIBUZO E. NWOKOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 421-6510
(731) 421-6500
Mailing address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 421-6510
(731) 421-6500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
45077
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514538
—
TN
Enumeration date
05/15/2007
Last updated
06/07/2022
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