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Individual

DR. CHARLES OYAKHILOMEN EBHOHIMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 WHEATLEY DR, AMERICUS, GA 31709-3788
(229) 924-6011
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
047894
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
559680188A
GA
05
745997916A
GA
01
P00188008
RAILROAD MEDICARE
GA
01
P00309097
RAILROAD MEDICARE
Enumeration date
06/14/2006
Last updated
08/27/2019
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