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Individual

IJEOMA CECILIA ANYANWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
684 SIXES RD STE 275, HOLLY SPRINGS, GA 30115-8723
(770) 852-2440
(770) 852-2446
Mailing address
684 SIXES RD STE 275, HOLLY SPRINGS, GA 30115-8723
(770) 852-2440
(770) 852-2446

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
274604
NY
208000000X
Pediatrics Physician
Primary
81221
GA
208000000X
Pediatrics Physician
MD446439
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003212061B
GA
05
003212061C
GA
05
04078011
NY
Enumeration date
06/30/2009
Last updated
06/14/2024
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