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NPI Code Detail

MEDICARE: PETER ONCHOKE APRN

MEDICARE: PETER ONCHOKE APRN
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
1163WP0808XPsychiatric/Mental Health Registered Nurse2022139760GA

General Provider Information

NPI Number : 1811747827
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER ONCHOKE APRN
Provider Business Mailing Address
First Line : 8545 SCENIC RIDGE WAY
Second Line :
City : BALL GROUND
State : GA
Zip : 30107-5111
Country : US
Telephone Number : 678-308-6490
Fax Number :
Provider Business Practice Location Address
First Line : 1121 JOHNSON FERRY RD STE 450
Second Line :
City : MARIETTA
State : GA
Zip : 30068-5433
Country : US
Telephone Number : 770-694-6349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 03/25/2024

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Directions to “ PETER ONCHOKE APRN” Practice Location

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