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Search › Mississippi › 2083P0901X

Odilichi Ezenwanne, M.D

NPI 1841504206 · on the registry since 2010

Practice

Address
1820 Peabody St
Tunica, MS 38676
Phone
(662) 363-3656
Organisation at this address
Aaron E Henry Community Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
2083P0901X
2083P0901X
Also registered as
2083P0901X
Licence states on file
MS, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi