Provider Demographics
NPI:1134961212
Name:ANUNOBI, UCHENNA FREDOLINE (MD)
Entity type:Individual
Prefix:DR
First Name:UCHENNA
Middle Name:FREDOLINE
Last Name:ANUNOBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 CRABAPPLE WAY UNIT 2401
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-5262
Mailing Address - Country:US
Mailing Address - Phone:770-597-3268
Mailing Address - Fax:
Practice Address - Street 1:24 CRABAPPLE WAY UNIT 2401
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-5262
Practice Address - Country:US
Practice Address - Phone:770-597-3268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA16479207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine