Organization
DIVINE FAMILY HEALTHCARE SERVICES, LLC
Active
Organization
DIVINE FAMILY HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NGOZI GLORIA OKORO NP (NURSE PRACTITIONER)
(678) 361-0116
Entity
Organization
Contact information
Practice address
1720 MARS HILL RD NW STE 4, ACWORTH, GA 30101-8089
(770) 865-3748
Mailing address
2733 LOST LAKES DR, POWDER SPRINGS, GA 30127-6012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NCO-000001
GA
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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