Individual
CHINEDU IFEJIAGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
764 LAKELAND DR, JACKSON, MS 39216-4651
(601) 984-6800
(601) 984-6811
Mailing address
764 LAKELAND DR, JACKSON, MS 39216-4651
(601) 984-6800
(601) 984-6811
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
06/01/2017
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