Individual
CHINEDUM IKPE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
120 ELENOR DR, FAYETTEVILLE, GA 30215-2051
(404) 545-7732
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
66121
GA
Other
Enumeration date
07/08/2008
Last updated
01/25/2023
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