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NPI Code Detail

MEDICARE: MARY OLUWATOMILOLA NWOKE

MEDICARE: MARY OLUWATOMILOLA NWOKE
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
1207R00000XInternal Medicine Physician068460GA
2208M00000XHospitalist Physician68460GA

General Provider Information

NPI Number : 1588891261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY OLUWATOMILOLA NWOKE
Provider Business Mailing Address
First Line : 3330 CUMBERLAND BLVD SE STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5997
Country : US
Telephone Number : 770-740-2611
Fax Number : 770-800-3100
Provider Business Practice Location Address
First Line : 3330 CUMBERLAND BLVD SE STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5997
Country : US
Telephone Number : 770-740-2611
Fax Number : 770-800-3100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2009
Last Update Date : 04/08/2024

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Directions to “ MARY OLUWATOMILOLA NWOKE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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