Individual
ADAOBI EZEOKOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
Mailing address
601 E 66TH ST, SAVANNAH, GA 31405-4519
(912) 662-0088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12760
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12760
GEORGIA TRAINING PERMIT
GA
01
—
1679153027
GEORGIA TRAINING PERMIT
GA
Enumeration date
04/10/2021
Last updated
07/07/2021
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