Individual
NICOLE IHEOMA IWUCHUKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808
(225) 765-4050
Mailing address
5354 REYNOLDS ST, STE 424, SAVANNAH, GA 31405-6011
(257) 655-7272
(225) 765-4278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90670
GA
Other
Enumeration date
04/05/2016
Last updated
01/10/2022
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