GABRIEL IKEMBA MADU

GREENVILLE, MS
NPI1437491123
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  25560)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MS  T-3270)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MS  T-3270)
Enumeration Date2013-03-21
Last Update Date2018-07-25
Business Address
Dr. GABRIEL IKEMBA MADU M.D., D.O., M.P.H.
2363 HIGHWAY 1 S
GREENVILLE, MS 38701-8337
Phone number: 662-334-1253
Mailing Address
Dr. GABRIEL IKEMBA MADU M.D., D.O., M.P.H.
2514 67TH AVENUE LOOP STE 112
MERIDIAN, MS 39307-7260
Phone number: 601-482-4955