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CHIDINMA ANULIEKETTE AGACNP
Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1144799305
Individual Registrant: CHIDINMA ANULIEKETTE AGACNP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1098 WINDING DOWN WAY GRAYSON, GA 30017-1599 US
Tel: 404-200-3670 Fax: --
Tel: 404-200-3670 Fax: --
Contact information for business:
1098 WINDING DOWN WAY GRAYSON, GA 30017-1599 US
Tel: 404-200-3670 Fax: --
Tel: 404-200-3670 Fax: --
Registration Information:
NPI: 1144799305
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care | GA | RN136584 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
