MEDICARE: DAISY UCHECHI NWOSU

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	367A00000X	Advanced Practice Midwife		GA

General Provider Information

NPI Number	:	1366308041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAISY UCHECHI NWOSU

Provider Business Mailing Address
First Line	:	7461 HAWK TAIL WAY
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-6555
Country	:	US
Telephone Number	:	347-277-5029
Fax Number	:

Provider Business Practice Location Address
First Line	:	7461 HAWK TAIL WAY
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-6555
Country	:	US
Telephone Number	:	347-277-5029
Fax Number	:

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

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	12/26/2025

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Directions to “ DAISY UCHECHI NWOSU ” Practice Location

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