Ikebudu, Stacey
Ikebudu, Stacey is an sole proprietor health care provider with primary practice located at 2985 Mack Dobbs Rd Nw , Kennesaw GA 30152-2641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ikebudu, Stacey can be contacted via phone (770) 914-0116.Contact Information
Primary practice address
2985 Mack Dobbs Rd Nw
Kennesaw GA 30152-2641
Phone: (770) 914-0116
Fax: (770) 955-4278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41924 | Alabama |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 91580 | Georgia |
Profile Details
| NPI number | 1033772298 |
|---|---|
| LBN Legal business name | Ikebudu, Stacey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2019 |
| Last updated | Apr 2nd, 2026 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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