NPI | 1366202236 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY CHUKWUEMEKA C IWELUNMOR Md 770-800-3277 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-03-19 |