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NPI Code Detail

MEDICARE: BEATRICE NWANNEKA OKOLO MD

MEDICARE: BEATRICE NWANNEKA OKOLO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician110004GA

General Provider Information

NPI Number : 1174707764
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEATRICE NWANNEKA OKOLO MD
Provider Business Mailing Address
First Line : 417 W 3RD AVE
Second Line :
City : ALBANY
State : GA
Zip : 31701-1943
Country : US
Telephone Number : 229-312-1000
Fax Number :
Provider Business Practice Location Address
First Line : 417 W 3RD AVE
Second Line :
City : ALBANY
State : GA
Zip : 31701-1943
Country : US
Telephone Number : 229-312-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2007
Last Update Date : 03/07/2026

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Directions to “ BEATRICE NWANNEKA OKOLO MD” Practice Location

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