Individual
DR. OBIOHA LOUIS OKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
844 2ND ST, MACON, GA 31201-6885
(478) 746-6662
(478) 746-8861
Mailing address
844 2ND ST, MACON, GA 31201-6885
(478) 746-6662
(478) 746-8861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
039194
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000716592F
—
GA
05
—
319585
—
GA
01
—
826405
BLUE CROSS BLUE SHIELD
GA
Enumeration date
01/18/2007
Last updated
12/12/2024
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