Individual
DR. JOHN OPATA MATE-KOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 STANDING BOY RD, UNIT 24, COLUMBUS, GA 31904-3331
(571) 331-5310
Mailing address
6500 STANDING BOY RD, UNIT 24, COLUMBUS, GA 31904-3331
(571) 331-5310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
056756
GA
208000000X
Pediatrics Physician
Primary
68235
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100073470
—
WI
Enumeration date
08/14/2006
Last updated
08/01/2023
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