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Individual

DR. CHRISTIAN M EZEKWUECHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
770 PINE ST, SUITE 560, MACON, GA 31201-2173
(478) 741-5155
(478) 746-9682
Mailing address
770 PINE ST, SUITE 560, MACON, GA 31201-2173
(478) 741-5155
(478) 746-9682

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
024808
GA

Other

Enumeration date
01/10/2006
Last updated
09/19/2007
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