Dickson Osanu

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

RN108512 Issued in GA

Legal business name

DICKSON OSANU

Practice address

4405 Mall Blvd Ste 315
Union City, GA 30291-2070

Phone

(404) 226-9131

NPI assigned

Aug 1, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dickson Osanu

Title

Ceo/Owner

Phone

(404) 226-9131

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1306399936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MALL BLVD STE 315",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912070",
            "telephone_number": "404-226-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 MALL BLVD STE 315",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912070",
            "telephone_number": "404-226-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON OSANU",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "OSANU",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "404-226-9131"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "GA",
            "license": "RN108512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Union City, GA
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• Pediatric Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.