Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDER CHUKWUMA IBEZI-ENENDU, D.O.
Active Sole ProprietorALEXANDER CHUKWUMA IBEZI-ENENDU, D.O. is a Family Medicine healthcare provider located in UNADILLA, Georgia. NPI 1154615979 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · UNADILLA, GA
Registration Details
- NPI Number
- 1154615979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2011 (15.193044654912 yrs)
- Last Updated
- Nov 18, 2023
- Licenses
-
5101019441 (MI)75636 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2809 PINE STUNADILLA, GA, 310917701Browse GA providers · Browse ZIP 31091
- Phone
- 4783553000
- Fax
- 4783553001
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.