Individual
OMOKHUALE OMOKHODION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2145 ROSWELL RD STE 60, MARIETTA, GA 30062-0819
(770) 672-6267
Mailing address
3358 LAUREL WAY SE, SMYRNA, GA 30080-4457
(248) 390-0241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40788
IA
207Q00000X
Family Medicine Physician
Primary
125-052067
IL
Other
Enumeration date
06/26/2009
Last updated
04/05/2023
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