Individual
CHIOMA R EKECHUKWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W HAMLET AVE, HAMLET, NC 28345-4522
(404) 538-3943
Mailing address
4200 IRVINGTON DR, CHARLOTTE, NC 28205-4635
(404) 538-3943
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
056994
GA
2084P0800X
Psychiatry Physician
Primary
2007-00232
NC
2084P0800X
Psychiatry Physician
29267
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056994
STATE MEDICAL LICENSE
GA
01
—
2007-00232
STATE MEDICAL LICENSE
NC
01
—
29267
STATE MEDICAL LICENSE
SC
05
—
327877
—
SC
Enumeration date
08/24/2006
Last updated
02/19/2013
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