Individual
MR. SIMON NJELEFACK EKOKOBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1487 ALICE AVE, LITHONIA, GA 30058-3242
(404) 314-0776
Mailing address
1487 ALICE AVE, LITHONIA, GA 30058-3242
(404) 314-0776
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN226577
GA
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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