Individual
JOHN OKOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P
Contact information
Practice address
502 BOX ELDER CT, BONAIRE, GA 31005-5401
(678) 559-8969
Mailing address
502 BOX ELDER CT, BONAIRE, GA 31005-5401
(678) 559-8969
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
4704416472
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
RN217300
GA
Other
Enumeration date
03/31/2017
Last updated
08/12/2024
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