Organization
GEORGEIA INTERNAL MEDICINE
Active
Organization
GEORGEIA INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEROGE EMENIKE OKAFOR M.D (MEDICAL DOCTOR)
(770) 929-8100
Entity
Organization
Contact information
Practice address
1275 PARKER RD SE, CONYERS, GA 30094-5957
(770) 929-8100
(770) 929-3485
Mailing address
1275 PARKER RD SE, CONYERS, GA 30094-5957
(770) 929-8100
(770) 929-3485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00565672H
—
GA
01
—
0400245
UNITED HEALTHCARE
GA
01
—
4789
KAISER
—
01
—
52480569
BLUECROSS
—
Enumeration date
02/26/2008
Last updated
02/26/2008
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