Individual
DR. AMALACHI FAVOUR NDIAGWALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5000
Mailing address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91977
SC
390200000X
Student in an Organized Health Care Education/Training Program
4351048188
MI
Other
Enumeration date
07/19/2021
Last updated
07/19/2024
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