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Individual

DR. UKPONG ETTE NWANKWO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
121 MAYFIELD DR, SMYRNA, TN 37167-3018
(615) 459-4686
(615) 459-4086
Mailing address
121 MAYFIELD DR, SMYRNA, TN 37167-3018
(615) 459-4686
(615) 459-4086

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31321
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3842966
TN
Enumeration date
05/30/2006
Last updated
04/04/2023
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