Individual
DR. GABRIEL IKEMBA MADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., D.O., M.P.H.
Contact information
Practice address
2363 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
(662) 334-1253
(662) 741-2700
Mailing address
2514 67TH AVENUE LOOP STE 112, MERIDIAN, MS 39307-7260
(601) 482-4955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25560
MS
207Q00000X
Family Medicine Physician
T-3270
MS
390200000X
Student in an Organized Health Care Education/Training Program
T-3270
MS
Other
Enumeration date
03/21/2013
Last updated
07/25/2018
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