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Dr. Eno N Ikoku, MD
Military Health Care Provider in Fort Gillem, Georgia
NPI 1376744946

Eno N Ikoku is a Military Health Care Provider based in Lithonia, GA. Eno N Ikoku practices in Fort Gillem, GA and has the professional credentials of MD. The NPI Number for Eno N Ikoku is 1376744946 and holds a License No. 30942 (Georgia).

The current practice location address for Eno N Ikoku is 1500 Hood Avenue, Fort Gillem, GA and can be reached out via phone at 404-469-3090.

Location: 1500 Hood Avenue, Fort Gillem, GA, 30058-9019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376744946
Provider Name
Eno N Ikoku
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1500 Hood Avenue, Fort Gillem, GA, 30058-9019
Phone Number
404-469-3090
Fax Number
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1500 Hood Avenue
City
Fort Gillem
State
Georgia
Zip
30297-5000
Phone Number
404-469-3090
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Hood Avenue
City
Fort Gillem
State
Georgia
Zip
30297-5000
Phone Number
404-469-3090
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
30942 (Georgia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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