Individual
CHISOM C. IWUEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 TIMBERLINE TRL, NORTH CHARLESTON, SC 29418-3067
(864) 905-4747
Mailing address
980 JOHNSON FERRY RD STE 660, SANDY SPRINGS, GA 30342-1608
(404) 847-1592
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
89076
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2014
Last updated
09/02/2022
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