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Individual

DR. VIVIAN CHINYERE UMEOZULU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1030 MATHESON WAY, JOHNS CREEK, GA 30022-5514
(800) 809-6588
Mailing address
3601 SW 160TH AVE, SUITE #250, MIRAMAR, FL 33027-6308
(305) 866-9951
(877) 284-8933

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0067311
MD
207R00000X
Internal Medicine Physician
ME174480
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4183444 00
MD
01
P00759526
MEDICARE RAILROAD
MD
Enumeration date
07/16/2007
Last updated
11/04/2025
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