Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 80233 | MS |
NPI | 1336594985 |
---|---|
Provider Name | Dr. Nkechinyere Christina Nwoko |
First Address | Flowood, MS 39232-1359 |
Second Address | Natchez, MS 39120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2016 |
Last Update Date | 26/07/2019 |