Provider Demographics
NPI:1679746820
Name:ANYAKUDO, CHINYERE DAISY (M,D)
Entity Type:Individual
Prefix:DR
First Name:CHINYERE
Middle Name:DAISY
Last Name:ANYAKUDO
Suffix:
Gender:F
Credentials:M,D
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Mailing Address - Street 1:3171 WEXFORD WALK DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-5730
Mailing Address - Country:US
Mailing Address - Phone:404-668-7897
Mailing Address - Fax:404-462-0700
Practice Address - Street 1:3780 EISENHOWER PKWY
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-0800
Practice Address - Country:US
Practice Address - Phone:478-633-5556
Practice Address - Fax:478-784-5496
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2010-12-14
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Provider Licenses
StateLicense IDTaxonomies
GA065206207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine