| Georgeia Internal Medicine | |
|
1275 Parker Rd Se Conyers GA 30094-5957 | |
| (770) 929-8100 | |
| (770) 929-3485 |
| Full Name | Georgeia Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1275 Parker Rd Se, Conyers, Georgia |
| Authorized Official Name and Position | Geroge Emenike Okafor (MEDICAL DOCTOR) |
| Authorized Official Contact | 7709298100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgeia Internal Medicine 1275 Parker Rd Se Conyers GA 30094-5957 Ph: (770) 929-8100 | Georgeia Internal Medicine 1275 Parker Rd Se Conyers GA 30094-5957 Ph: (770) 929-8100 |
| NPI Number | 1144499021 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/26/2008 |
| Medicare PECOS PAC ID | 7012180037 |
|---|---|
| Medicare Enrollment ID | O20111107000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144499021 | NPI | - | NPPES |
| 00565672H | Medicaid | GA | |
| 0400245 | Other | GA | UNITED HEALTHCARE |
| 52480569 | Other | BLUECROSS | |
| 4789 | Other | KAISER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | George Okafor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710909817 PECOS PAC ID: 0042483067 Enrollment ID: I20111107000669 |
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