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Individual

JOSEPH W POKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
639 HEMLOCK ST, SUITE 100, MACON, GA 31201-6886
(478) 755-1560
(478) 755-1562
Mailing address
639 HEMLOCK ST, SUITE 100, MACON, GA 31201-6886
(478) 755-1560
(478) 755-1562

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
052807
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00305302
RAILROAD MEDICARE
GA
Enumeration date
10/24/2006
Last updated
07/08/2007
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