| Atlanta Ropheka Medical Center, Pc | |
|
217 Medical Way Riverdale GA 30274-2522 | |
| (770) 991-9227 | |
| Not Available |
| Full Name | Atlanta Ropheka Medical Center, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 217 Medical Way, Riverdale, Georgia |
| Authorized Official Name and Position | Onwura Michael Obiekwe (OWNER) |
| Authorized Official Contact | 7709919227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Ropheka Medical Center, Pc 217 Medical Way Riverdale GA 30274-2522 Ph: (770) 991-9227 | Atlanta Ropheka Medical Center, Pc 217 Medical Way Riverdale GA 30274-2522 Ph: (770) 991-9227 |
| NPI Number | 1194945832 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 02/19/2021 |
| Medicare PECOS PAC ID | 0648259473 |
|---|---|
| Medicare Enrollment ID | O20040715001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194945832 | NPI | - | NPPES |
| 00949253B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50236 (Georgia) | Primary |
| Provider Name | Onwura Michael Obiekwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972585446 PECOS PAC ID: 1355320185 Enrollment ID: I20040716000281 |
| Provider Name | Onyebuchi Nwaokolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603707 PECOS PAC ID: 7113275538 Enrollment ID: I20180801002047 |
| Provider Name | Andrea N Benford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437657905 PECOS PAC ID: 2062758717 Enrollment ID: I20190116003708 |
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