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DR. ENO N IKOKU M.D.

>> Military Health Care Provider >> Other Service Providers

Registrant NPI Number: 1376744946

Individual Registrant:
DR. ENO N IKOKU M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1500 HOOD AVENUE BUILDING 720 FORT GILLEM, GA 30297-5000 US
Tel: 404-469-3090  Fax: --

Contact information for business:
7256 IVERSON TRL  LITHONIA, GA 30058-9019 US
Tel: 770-482-7636  Fax: --

Registration Information:
NPI: 1376744946
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171000000XOther Service Providers
Military Health Care Provider
GA30942

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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