Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VINCE IFEANYI CHUKWUKELU, MD
ActiveVINCE IFEANYI CHUKWUKELU, MD is a Sports Medicine healthcare provider located in MACON, Georgia. NPI 1386149425 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · MACON, GA
Registration Details
- NPI Number
- 1386149425
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2018 (8.3351629840996 yrs)
- Last Updated
- Jun 27, 2022
- Licenses
-
010544 (GA)90086 (GA)
Practice Information
- Address
-
3780 EISENHOWER PKWYMACON, GA, 312060800Browse GA providers · Browse ZIP 31206
- Phone
- 4786335550
- Fax
- 4786337287
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports 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.