Anyanwu, Ijeoma Cecilia

Anyanwu, Ijeoma Cecilia is an individual health care provider with primary practice located at 684 Sixes Rd Ste 275 , Holly Springs GA 30115-8723. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anyanwu, Ijeoma Cecilia can be contacted via phone (770) 852-2440.

Contact Information

Primary practice address
684 Sixes Rd Ste 275 Holly Springs GA 30115-8723
Phone: (770) 852-2440
Fax: (770) 852-2446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD446439 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 274604 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 81221 Georgia

Profile Details

NPI number 1740418557
LBN Legal business name Anyanwu, Ijeoma Cecilia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Jun 14th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740418557 NPPES
Georgia MEDICAID 003212061B
Georgia MEDICAID 003212061C
Georgia MEDICAID 04078011

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