Individual
FREDRICK OMURWA MAKORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 DIXIE ST, CARROLLTON, GA 30117-4417
(770) 812-5832
Mailing address
905 DIXIE ST, CARROLLTON, GA 30117-4417
(770) 812-5832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
068239
GA
Other
Enumeration date
06/09/2009
Last updated
07/20/2012
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