person
Dr. Vivian Chizorom Iwu, DPM
Foot & Ankle Surgery Podiatrist in Marietta, Georgia
NPI 1811019730

Vivian Chizorom Iwu is a Foot & Ankle Surgery Podiatrist based in Cumming, GA and is specialized in Foot & Ankle Surgery. Vivian Chizorom Iwu practices in Marietta, GA and has the professional credentials of DPM. The NPI Number for Vivian Chizorom Iwu is 1811019730 and holds a License No. POD001071 (Georgia).

The current practice location address for Vivian Chizorom Iwu is 540 Powder Springs St Ste B6, Marietta, GA and can be reached out via phone at 770-702-8723 and via fax at 770-702-8809. You can also correspond with Vivian Chizorom Iwu through the mailing address at 2450 ATLANTA HWY, CUMMING, GA - 30040-1254 (mailing address contact number: 678-947-0973).

Location: 540 Powder Springs St Ste B6, Marietta, GA, 30040-1254
person
Provider Profile Details
NPI Number
1811019730
Provider Name
Vivian Chizorom Iwu
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
540 Powder Springs St Ste B6, Marietta, GA, 30040-1254
Phone Number
770-702-8723
Fax Number
770-702-8809
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
924062921A 05 GA
P00460780 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
540 Powder Springs St Ste B6
City
State
Zip
30064-3559
Phone Number
770-702-8723
Fax Number
770-702-8809
person
Provider Business Mailing Address Details
Address
540 Powder Springs St Ste B6
City
State
Zip
30064-3559
Phone Number
770-702-8723
Fax Number
770-702-8809
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
POD001071 (Georgia)
Definition
Definition to come...
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