Individual
MR. KENECHUKWU NWAGBARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
162 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5902
(865) 238-6161
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018023739
MO
207RC0000X
Cardiovascular Disease Physician
Primary
74653
TN
207RI0011X
Interventional Cardiology Physician
036177610
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q103955
—
TN
Enumeration date
03/30/2015
Last updated
12/18/2025
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