Individual
MR. COURAGE A ATEKHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1030 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 764-8396
(912) 764-7188
Mailing address
1030 BERMUDA RUN, STATESBORO, GA 30458-0858
(912) 764-8396
(912) 764-7188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
049266
GA
2472R0900X
Renal Dialysis Technician
049266
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000933413K,L,M,N,O,P
—
GA
Enumeration date
09/27/2006
Last updated
07/07/2016
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