Organization
MICOLE HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLET IFEANYI ODENIGBO MPA (ADMINISTRATOR)
(678) 200-3363
Entity
Organization
Contact information
Practice address
4548 TULIP CT, LITHONIA, GA 30038-6244
(678) 200-3363
Mailing address
4548 TULIP CT, LITHONIA, GA 30038-6244
(678) 200-3363
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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