Individual
DR. ISIOMA CHINWENDU OKWUMABUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1513 EAST CLEVELAND AVE, BUILDING 500, EAST POINT, GA 30344-6949
(404) 752-1000
(404) 752-1191
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1400
(404) 756-1402
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
070256
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150200A
—
GA
Enumeration date
06/09/2010
Last updated
03/22/2022
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