Individual
DOMINIC EMEKA NKWOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4015 S COBB DR SE, SUITE 110B, SMYRNA, GA 30080-6303
(678) 324-8406
(678) 324-8408
Mailing address
PO BOX 766, MABLETON, GA 30126-0766
(678) 324-8406
(678) 324-8408
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
55280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55280
LICENSE
GA
Enumeration date
07/21/2006
Last updated
06/19/2013
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