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NPI Code Detail

MEDICARE: NGOZI OKEANI NP

MEDICARE: NGOZI OKEANI NP
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
1363L00000XNurse PractitionerRN124521GA

General Provider Information

NPI Number : 1447318936
Entity Type Code : Individual
Provider Name (Legal Business Name) : NGOZI OKEANI NP
Provider Business Mailing Address
First Line : 4270 BRISTLECONE DR NW
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1572
Country : US
Telephone Number : 770-514-9942
Fax Number :
Provider Business Practice Location Address
First Line : 5230 DALLAS HWY
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-4263
Country : US
Telephone Number : 713-935-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/08/2007

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