MEDICARE: DR. CHINEDU PATRICK NWEKE M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	78384	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033341656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHINEDU PATRICK NWEKE M.D

Provider Business Mailing Address
First Line	:	1720 MARS HILL RD NW STE 120-380
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-7127
Country	:	US
Telephone Number	:	470-227-8130
Fax Number	:	470-747-7588

Provider Business Practice Location Address
First Line	:	4450 CALIBRE XING NW STE 1126
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-4104
Country	:	US
Telephone Number	:	470-227-8130
Fax Number	:	470-747-7588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2009
Last Update Date	:	06/26/2022

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Directions to “ DR. CHINEDU PATRICK NWEKE M.D” Practice Location

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