Individual
EDITH I. OKOI CHUKWUNYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2337 GOODWOOD DR SW, MARIETTA, GA 30064-4335
(678) 760-0752
Mailing address
2337 GOODWOOD DR SW, MARIETTA, GA 30064-4335
(678) 760-0752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5019 (MDCN/R/20115)
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U4232038702
CIGNA
—
Enumeration date
02/21/2014
Last updated
02/21/2014
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