Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 78384 | GA |
NPI | 1033341656 |
---|---|
Provider Name | Dr. Chinedu Patrick Nweke |
First Address | Acworth, GA 30101-7127 |
Second Address | Acworth, GA 30101-4104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2009 |
Last Update Date | 27/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003204382J | (05) | GA |