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Individual

TONY OKAFOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
247 GUNTOWN RD, ROGERSVILLE, TN 37857-3926
(423) 794-6307
Mailing address
247 GUNTOWN RD, ROGERSVILLE, TN 37857-3926
(423) 794-6307

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
107234675
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
824900528
TN
Enumeration date
05/03/2018
Last updated
05/08/2018
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