Organization
ICECARE LLC
Active
Other names
VitalCare Express
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CHUKWUEMEKA C IWELUNMOR MD (MD)
(770) 800-3277
Entity
Organization
Contact information
Practice address
976 MANSELL RD, ROSWELL, GA 30076-1533
(770) 800-3277
(770) 800-3537
Mailing address
976 MANSELL RD, ROSWELL, GA 30076-1533
(770) 800-3277
(770) 800-3537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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