Individual
DR. TAISHA K OKAFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
236 ARROWHEAD BLVD, JONESBORO, GA 30236-1106
(770) 478-9240
(770) 478-0318
Mailing address
236 ARROWHEAD BLVD, JONESBORO, GA 30236-1106
(770) 478-9240
(770) 478-0318
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
059937
GA
208000000X
Pediatrics Physician
44743
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513136
—
TN
05
—
907907838C
—
GA
Enumeration date
02/21/2007
Last updated
12/18/2020
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