Individual
MICHAEL CHINEDU NWUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(310) 308-6999
Mailing address
PO BOX 21701, COLUMBIA, SC 29221-1701
(310) 308-6999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A76605
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A766050
—
CA
Enumeration date
09/09/2005
Last updated
04/30/2009
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