Obi C Okehi, M.D.
Individual provider Active NPI Specialist · Centerville, GA
NPI 1265674147 · NPPES record last updated Mar 24, 2009
Key facts
- NPI
- 1265674147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 21567 (GA)
- Practice address
- 106 Farmington CT
Centerville, GA 31028-6508 - Phone
- (478) 971-0711
- Fax
- (404) 393-9457
- NPI assigned
- Mar 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21567 | GA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21567 | GA | Yes |
Addresses
Primary practice location
106 Farmington CT
Centerville, GA 31028-6508
Mailing address
106 Farmington CT
Centerville, GA 31028-6508
Phone (478) 971-0711
Other providers in Centerville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.