Individual
DR. ENO N IKOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 HOOD AVENUE, BUILDING 720, FORT GILLEM, GA 30297-5000
(404) 469-3090
Mailing address
7256 IVERSON TRL, LITHONIA, GA 30058-9019
(770) 482-7636
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
30942
GA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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