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:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740418557 | NPPES |
| Georgia | MEDICAID | 003212061B | |
| Georgia | MEDICAID | 003212061C | |
| Georgia | MEDICAID | 04078011 |
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