Individual
SHEILA OMAKPOKPOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
89743
GA
208D00000X
General Practice Physician
Primary
89743
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
01/24/2024
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