Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MWAMBA MWILA, MD
Active Sole ProprietorMWAMBA MWILA, MD is a Family Medicine healthcare provider located in FAYETTEVILLE, Georgia. NPI 1629427570 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1629427570
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2016 (10.189462941502 yrs)
- Last Updated
- Jul 10, 2023
- Licenses
-
83774 (GA)83774 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1255 HIGHWAY 54 WFAYETTEVILLE, GA, 302144526Browse GA providers · Browse ZIP 30214
- Phone
- 4043673014
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY KENTON HULL | M.D. | 1922096882 |
| KELVIN D. WHITE | M.D. | 1457336935 |
| DR. SHARMANE MARIE GRAY | MD | 1477539252 |
| JEANNETTE I FREI | M.D. | 1679549125 |
| JOHN A KELLER | MD | 1962462937 |
| DR. CHARLES A BERGSTROM | M.D. | 1104886662 |
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.