Organization
DICKSON OSANU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICKSON OSANU (CEO/OWNER)
(404) 226-9131
Entity
Organization
Contact information
Practice address
4405 MALL BLVD STE 315, UNION CITY, GA 30291-2070
(404) 226-9131
Mailing address
4405 MALL BLVD STE 315, UNION CITY, GA 30291-2070
(404) 226-9131
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
RN108512
GA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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