Individual
CHINWEOKE U EZEKWUECHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(404) 872-3121
Mailing address
550 PEACHTREE ST NE STE 1275, ATLANTA, GA 30308-2240
(404) 872-3119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN194503
GA
363LG0600X
Gerontology Nurse Practitioner
RN194503
GA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN194503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG02170149
CERTIFICATION
GA
01
—
RN194503
LICENSE
GA
Enumeration date
07/03/2017
Last updated
07/03/2017
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