Individual
JASMIN ALISA NWACHOKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6325 HOSPITAL PKWY, DULUTH, GA 30097-5775
(708) 216-2170
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
036157044
IL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
101582
GA
Other
Enumeration date
06/08/2017
Last updated
09/26/2024
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