Organization
SUNHAVEN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER OKERE NP (NURSE PRACTITIONER)
(404) 438-7346
Entity
Organization
Contact information
Practice address
92 W PACES FERRY RD NW UNIT 7016, ATLANTA, GA 30305-1470
(404) 438-7346
Mailing address
575 PHARR RD NE UNIT 52906, ATLANTA, GA 30355-4076
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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