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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
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