Individual
MR. HARRISON C OJIMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309-1281
(404) 351-1745
(404) 351-7121
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN181458
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN181458
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215111285A
—
GA
Enumeration date
01/04/2010
Last updated
10/06/2010
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