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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