Organization
KEKELO MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOBLE IWUAGWU MD (CEO)
(706) 535-1565
Entity
Organization
Contact information
Practice address
150 CREEKRISE DR, PEACHTREE CITY, GA 30269-4801
(706) 535-1565
(706) 760-2206
Mailing address
150 CREEKRISE DR, PEACHTREE CITY, GA 30269-4801
(706) 535-1565
(706) 760-2206
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
01/14/2019
Last updated
04/09/2020
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