Organization
FIRST LITHONIA MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISIOMA THERESA OKOBAH M.D (CEO)
(770) 323-6458
Entity
Organization
Contact information
Practice address
2505 PANOLA RD, SUITE A, LITHONIA, GA 30058
(770) 323-6458
(770) 323-6462
Mailing address
PO BOX 965185, MARIETTA, GA 30066-0004
(678) 984-8079
(770) 323-6462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
04/29/2024
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