Healthcare Provider Details

I. General information

NPI: 1306349097
Provider Name (Legal Business Name): CHUKWUNONSO CHEKWUBE OBIJIOFOR NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2018
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 PEACHTREE ST NE
ATLANTA GA
30309-2433
US

IV. Provider business mailing address

7820 HICKORY FLAT HWY
WOODSTOCK GA
30188-2099
US

V. Phone/Fax

Practice location:
  • Phone: 404-870-7835
  • Fax:
Mailing address:
  • Phone: 240-280-4746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP265211
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: