Dr Ojoru Osunkoya, MD | |
4112 E. Ponce De Leon, Clarkston, GA 30021 | |
(404) 296-7133 | |
Not Available |
Full Name | Dr Ojoru Osunkoya |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4112 E. Ponce De Leon, Clarkston, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679528491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 23461 (Oklahoma) | Secondary |
208000000X | Pediatrics | 059578 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Dr Ojoru Osunkoya, MD 4112 E. Ponce De Leon, Clarkston, GA 30021 Ph: (404) 296-7133 | Dr Ojoru Osunkoya, MD 4112 E. Ponce De Leon, Clarkston, GA 30021 Ph: (404) 296-7133 |
Kimberly M Humphrey-browne, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-501-9744 | |
Dr. Stephanie M Henry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211 | |
Dr. Patrice Gibson Chishom, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-289-7133 Fax: 404-289-7211 | |
Sean R Lindsey, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4122 E Ponce De Leon Ave Ste 5, Clarkston, GA 30021 Phone: 470-799-0044 Fax: 470-799-0045 | |
Tracy Ferguson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211 | |
Keanna L Joseph-clarke, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4112 E Ponce De Leon Ave, Clarkston, GA 30021 Phone: 404-296-7133 Fax: 404-296-7211 |