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Individual

CHUKWUDI BATO AMU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5526 OLD NATIONAL HWY, SUITE B, BLDG J, ATLANTA, GA 30349-3249
(404) 766-6001
(678) 904-2769
Mailing address
5526 OLD NATIONAL HWY, SUITE B, BLDG J, ATLANTA, GA 30349-3249
(404) 766-6001
(678) 904-2769

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026967
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00436543B
GA
01
582278915
TAX ID
GA
Enumeration date
07/26/2005
Last updated
07/21/2022
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