Organization
PMA GOLD CARE
Active
Organization
PMA GOLD CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY OKOYE (OWNER)
(404) 822-1619
Entity
Organization
Contact information
Practice address
300 W I PKWY STE 307, DALLAS, GA 30132-5101
(404) 822-1619
(404) 745-8556
Mailing address
300 W I PKWY STE 307, DALLAS, GA 30132-5101
(404) 822-1619
(404) 745-8556
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051906819
DRIVER'S LICENSE NUMBER
GA
Enumeration date
08/19/2021
Last updated
05/22/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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