Individual
CHIAZO NNAWUCHI-EKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4105 HOSPITAL ST, SUITE 104, PASCAGOULA, MS 39581-5312
(228) 762-9595
(228) 762-9494
Mailing address
PO BOX 726, PASCAGOULA, MS 39568-0726
(228) 762-9595
(228) 762-9494
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
18851
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000652003
—
MS
05
—
00652003
—
MS
Enumeration date
07/25/2006
Last updated
11/20/2023
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