Organization
DENK INC
Active
Organization
DENK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC E NKWOCHA M.D. (PRESIDENT)
(404) 441-8809
Entity
Organization
Contact information
Practice address
4015 S COBB DR SE, SUITE 115, SMYRNA, GA 30080-6303
(678) 519-0706
Mailing address
4015 S COBB DR SE, SUITE 115, SMYRNA, GA 30080-6303
(404) 441-8809
(770) 436-7143
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
055280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055280
STATE LICENSE
—
05
—
MD429169
—
PA
Enumeration date
06/08/2008
Last updated
06/08/2008
Update your record
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