Individual
DR. ADAUGO NNEKA NWANGUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-4825
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
336819
LA
363A00000X
Physician Assistant
2019016848
MO
Other
Enumeration date
07/05/2019
Last updated
03/04/2024
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