Organization
PAMELA MOKOKO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA E MOKOKO APRN, FNP, PMHNP (PRESIDENT)
(912) 224-1156
Entity
Organization
Contact information
Practice address
165 WILLOW OAK DR, RICHMOND HILL, GA 31324-4069
(912) 224-1156
Mailing address
165 WILLOW OAK DR, RICHMOND HILL, GA 31324-4069
(912) 224-1156
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
GA
261QP2300X
Primary Care Clinic/Center
—
GA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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