Individual
DR. DAVID UMEADI EKWUNIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BALDWIN STATE PRISON, 128 LAYING FARM RD, HARDWICK, GA 31034
(478) 445-4984
(478) 445-2660
Mailing address
3553 BRIDGE WALK DR, LAWRENCEVILLE, GA 30044
(770) 921-0290
(770) 921-0290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042239
GA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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