Individual
NNAMDI ANDREW NWABUEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3050 CHARLES DR, JACKSON, LA 70748-6135
(225) 634-3517
Mailing address
3050 CHARLES DR, JACKSON, LA 70748-6135
(225) 635-0241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L12712R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1552232
—
LA
Enumeration date
07/06/2006
Last updated
07/18/2016
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