Individual
DR. EBIMOBOERE OKORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 NORTHSIDE FORSYTH DR STE 450, CUMMING, GA 30041-8483
(770) 442-1911
Mailing address
1800 NORTHSIDE FORSYTH DR STE 450, CUMMING, GA 30041-8483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
86351
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
10/25/2024
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