Osaretin Daniel Okungbowa in Statesboro - Family Medicine

Osaretin Daniel Okungbowa - NPI 1740474154

Osaretin Daniel Okungbowa is a Family Medicine in Statesboro, Georgia. Osaretin Daniel Okungbowa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Osaretin Daniel Okungbowa is 1740474154. The last update date is 2012-01-20.

Osaretin Daniel Okungbowa's current location address is 23 Lester Rd, Statesboro, Georgia. You can contact this provider via phone number 9122251836 and fax number 9122250645. The mailing address for Osaretin Daniel Okungbowa is 23 Lester Rd, Statesboro, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Osaretin Daniel Okungbowa
Address 23 Lester Rd, Statesboro, Georgia
Phone Number 9122251836
Fax Number 9122250645
Sole Proprietor Y
Credentials M.D

NPI Number Detail

NPI Number 1740474154
Provider Enumeration Date 2007-08-29
Last Updated Date 2012-01-20

Provider Mailing Address Detail

Address 23 Lester Rd
City Statesboro
State Georgia (GA)
Post Code 304584700
Phone Number 9122251836
Fax Number 9122250645

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD2009-0144
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
420313629A GA --

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FAQs about Osaretin Daniel Okungbowa

What is the unique identifier code issued to Osaretin Daniel Okungbowa by the Centers for Medicare & Medicaid Services (CMS)?

The Osaretin Daniel Okungbowa has been assigned the NPI (National Provider Identifier) 1740474154. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Osaretin Daniel Okungbowa?

The Osaretin Daniel Okungbowa is situated at 23 Lester Rd, in the city of Statesboro, state of GA, with the zip code 304584700.

What is Osaretin Daniel Okungbowa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Osaretin Daniel Okungbowa's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Osaretin Daniel Okungbowa receive the assignment of its 1740474154 from the Centers for Medicare & Medicaid Services?

The Osaretin Daniel Okungbowa was issued its 1740474154 by the Centers for Medicare & Medicaid Services on 2007-08-29.

As of what date was the information pertaining to Osaretin Daniel Okungbowa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Osaretin Daniel Okungbowa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-01-20.

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