Chukwukelu, Vince Ifeanyi

Chukwukelu, Vince Ifeanyi is an individual health care provider with primary practice located at 3780 Eisenhower Pkwy , Macon GA 31206-0800. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Chukwukelu, Vince Ifeanyi can be contacted via phone (478) 633-5550.

Contact Information

Primary practice address
3780 Eisenhower Pkwy Macon GA 31206-0800
Phone: (478) 633-5550
Fax: (478) 633-7287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 010544 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 90086 Georgia

Profile Details

NPI number 1386149425
LBN Legal business name Chukwukelu, Vince Ifeanyi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2018
Last updated Jun 27th, 2022 - about 2 years 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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