Provider Demographics
NPI:1114364130
Name:NLEWEM, CHIMEZIE OBINNA (MD/DO)
Entity Type:Individual
Prefix:
First Name:CHIMEZIE
Middle Name:OBINNA
Last Name:NLEWEM
Suffix:
Gender:M
Credentials:MD/DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N WESTOVER BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-2983
Mailing Address - Country:US
Mailing Address - Phone:229-888-6559
Mailing Address - Fax:229-436-4107
Practice Address - Street 1:1300 NEWTON RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-3424
Practice Address - Country:US
Practice Address - Phone:229-431-3120
Practice Address - Fax:229-431-3345
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116025893207Q00000X
GA078699207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine