Individual
NKECHI MBAEZUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 JESSIE HILL JR DR, ATLANTA, GA 30335
(404) 616-1000
(404) 616-5933
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1400
(404) 756-5274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00777158D
—
GA
Enumeration date
07/27/2005
Last updated
01/13/2021
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