Denk Inc | |
4015 S Cobb Dr Se Suite 115 Smyrna GA 30080-6303 | |
(678) 519-0706 | |
Not Available |
Full Name | Denk Inc |
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Speciality | Psychiatry & Neurology |
Location | 4015 S Cobb Dr Se, Smyrna, Georgia |
Authorized Official Name and Position | Dominic E Nkwocha (PRESIDENT) |
Authorized Official Contact | 4044418809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Denk Inc 4015 S Cobb Dr Se Suite 115 Smyrna GA 30080-6303 Ph: (404) 441-8809 | Denk Inc 4015 S Cobb Dr Se Suite 115 Smyrna GA 30080-6303 Ph: (678) 519-0706 |
NPI Number | 1942469507 |
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Provider Enumeration Date | 06/08/2008 |
Last Update Date | 06/08/2008 |
Medicare PECOS PAC ID | 1850464512 |
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Medicare Enrollment ID | O20080715000050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942469507 | NPI | - | NPPES |
055280 | Other | STATE LICENSE | |
MD429169 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 055280 (Georgia) | Primary |
Provider Name | Dominic E Nkwocha |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942221718 PECOS PAC ID: 4587624895 Enrollment ID: I20041012000809 |
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