Individual
DR. VICTOR EZINNA OKEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
483 UPPER RIVERDALE RD SW STE F, RIVERDALE, GA 30274
(770) 742-3883
(855) 597-8504
Mailing address
483 UPPER RIVERDALE RD SW STE F, RIVERDALE, GA 30274-2579
(770) 742-3883
(855) 597-8504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
071268
GA
207R00000X
Internal Medicine Physician
ME109619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME109619
MEDICAL LICENSE
FL
Enumeration date
04/30/2008
Last updated
06/05/2018
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