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CHIDINMA ANULIEKETTE AGACNP

Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1144799305

Individual Registrant:
 CHIDINMA  ANULIEKETTE AGACNP
Gender: F
Sole Proprietor

Location and contact information for practice:
1098 WINDING DOWN WAY  GRAYSON, GA 30017-1599 US
Tel: 404-200-3670  Fax: --

Contact information for business:
1098 WINDING DOWN WAY  GRAYSON, GA 30017-1599 US
Tel: 404-200-3670  Fax: --

Registration Information:
NPI: 1144799305
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Acute Care
GARN136584

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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