Individual
DR. CELESTINE AMUCHIE NNAETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 386-5222
(229) 382-6161
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
080012
GA
208100000X
Physical Medicine & Rehabilitation Physician
MT196131
PA
Other
Enumeration date
08/04/2009
Last updated
03/08/2021
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