Individual
DR. NDIDIAMAKA ONYEANWULI NWAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
200 WISTERIA DR, GAINESVILLE, GA 30501
(770) 219-5407
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
83158
GA
2084P0800X
Psychiatry Physician
D0079377
MD
2084P0800X
Psychiatry Physician
MD475758
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099304200
—
MD
Enumeration date
09/20/2010
Last updated
09/29/2023
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