Individual
DR. VICTOR C NWAZUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2863 HIGHWY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 256-7664
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD47704
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
FEDERAL UPIN
TN
Enumeration date
07/22/2008
Last updated
10/25/2023
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