Individual
NONYELU A CHUKWUOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 RB WILSON DR STE 2, HUNTINGDON, TN 38344-1727
(731) 358-4287
(731) 393-0098
Mailing address
631 RB WILSON DR STE 2, HUNTINGDON, TN 38344-1727
(731) 358-4287
(731) 393-0098
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD45034
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516071
—
TN
05
—
Q048223
—
TN
Enumeration date
11/02/2006
Last updated
05/13/2019
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