Individual
ONAJEFE S. NELSON-TWAKOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
770 PINE ST STE 200, MACON, GA 31201-7513
(478) 338-9161
(478) 259-1541
Mailing address
PO BOX 4163, MACON, GA 31208-4163
(478) 741-5945
(478) 743-5890
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
225868
NY
207RC0000X
Cardiovascular Disease Physician
MD450413
PA
207RC0001X
Clinical Cardiac Electrophysiology Physician
074935
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
225868
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
74935
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD450413
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02780071
—
MS
05
—
1033537
—
LA
01
—
CS1712105106
CARESOURCE
GA
Enumeration date
05/22/2007
Last updated
04/06/2020
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