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IRENNA CHUKWUDOLUE AGAZIE MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1952977522
Individual Registrant: IRENNA CHUKWUDOLUE AGAZIE MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2336 DAWSON RD STE 1500 ALBANY, GA 31707-2802 US
Tel: 229-312-8800 Fax: --
Tel: 229-312-8800 Fax: --
Contact information for business:
2336 DAWSON RD STE 1500 ALBANY, GA 31707-2802 US
Tel: 229-312-8800 Fax: --
Tel: 229-312-8800 Fax: --
Registration Information:
NPI: 1952977522
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 12671 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
