Provider Demographics
NPI:1609037936
Name:ALIGWEKWE, CHINWE NWABUNDO (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINWE
Middle Name:NWABUNDO
Last Name:ALIGWEKWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHINWE
Other - Middle Name:NWABUNDO
Other - Last Name:IZUKANNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1000 MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-7694
Mailing Address - Country:US
Mailing Address - Phone:678-312-3294
Mailing Address - Fax:678-312-3282
Practice Address - Street 1:1700 MEDICAL WAY
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2195
Practice Address - Country:US
Practice Address - Phone:770-736-2564
Practice Address - Fax:678-628-1249
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002946207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine