Individual
ANTHONY CHUKWUKELUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5454 YORKTOWNE DR, COLLEGE PARK, GA 30349-5317
(612) 475-9271
Mailing address
5454 YORKTOWNE DR, COLLEGE PARK, GA 30349-5317
(678) 251-3200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN269134
GA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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