VINCE IFEANYI CHUKWUKELU MD
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1386149425- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3780 EISENHOWER PKWY, MACON, GA, 312060800
- Phone
- (478) 633-5550
- Fax
- (478) 633-7287
Specialties & Taxonomies
Family Medicine
License: GA #010544
Student in an Organized Health Care Education/Training Program
Family Medicine, Sports Medicine
Primary License: GA #90086