Individual provider · Type 1 NPI

Izien Iruobe Imoukhuede, MD

Family Medicine Physician · Macon, GA

NPI number 1154056620 Active

Practice location

420 Charter Blvd Ste 402
Macon, GA 31210-0722

Mailing address

9710 State Ave
Marysville, WA 98270-2232

Other practice locations

  • 9710 State Ave, Marysville, WA 98270-2232 · (360) 653-1742

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X104101 (GA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1154056620

Izien Iruobe Imoukhuede, MD's National Provider Identifier is 1154056620, issued on Jul 19, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Macon, GA. The record was last updated on Oct 22, 2025.