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Individual

DR. IKENNA UGOCHUKWU ONWUMERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(270) 473-0819
Mailing address
PO BOX 741221, IPM CREDENTIALING, ATLANTA, GA 30374-1221
(903) 416-1710
(903) 416-4137

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
278595
NY
207R00000X
Internal Medicine Physician
43138
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351327
SC
05
7100103060
KY
Enumeration date
05/14/2008
Last updated
11/13/2019
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