Christian M Ezekwueche

LBN: Christian M Ezekwueche
Christian M Ezekwueche is an health care organization with primary practice located at 770 Pine St Suite 560, Macon GA 31201-2173. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Christian M Ezekwueche can be contacted via phone (478) 741-5155, or through Brown, Panetta via phone (478) 741-5155.

Contact Information

Primary practice address
770 Pine St Suite 560 Macon GA 31201-2173
Phone: (478) 741-5155
Fax: (478) 746-9682
Website:
Map and Directions
Authorized official contact:
Name: Brown, Panetta
Phone: (478) 741-5155

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 024808 Georgia
Other Service Providers / Specialist 174400000X 056574 Georgia

Profile Details

NPI number 1669590725
LBN Legal business name Christian M Ezekwueche
DBA Doing business as
Authorized official Brown, Panetta
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669590725 NPPES
Georgia MEDICAID 00259949A

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