Individual
ENAKENO A MOKEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 OGLETHORPE AVE STE 200A, ATHENS, GA 30606-2165
(706) 548-5833
(706) 548-5608
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99269
GA
Other
Enumeration date
04/01/2021
Last updated
08/14/2024
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