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Contact Information

GINIKACHUKWU B IKWUEZUNMA, MD
325 OLD PLEASANT GROVE RD
MOUNT JULIET, TN37122-4493
 Phone: 629-255-2053
 Fax: 629-255-4187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GINIKACHUKWU B IKWUEZUNMA · (Male)

NPI # 1689084352
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2014
Last updated 02/02/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • TN License # 64097
  • TN Medicaid Q070222
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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