Individual
DR. EVARISTUS O OKOGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
301 N MAIN ST, JONESBORO, GA 30236-3226
(770) 477-6868
Mailing address
3970 CRESTWATER LN, SNELLVILLE, GA 30039-6838
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015240
GA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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