| John Okolo, NP | |
|
502 Box Elder Ct, Bonaire, GA 31005-5401 | |
| (678) 559-8969 | |
| Not Available |
| Full Name | John Okolo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 502 Box Elder Ct, Bonaire, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912439647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 4704416472 (Michigan) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | RN217300 (Georgia) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20230105001168 |
| Mailing Address | Practice Location Address |
|---|---|
| John Okolo, NP 502 Box Elder Ct, Bonaire, GA 31005-5401 Ph: (678) 559-8969 | John Okolo, NP 502 Box Elder Ct, Bonaire, GA 31005-5401 Ph: (678) 559-8969 |
Louwana L. Hollar, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96, Suite A, Bonaire, GA 31005 Phone: 478-922-9944 | |
Patience Chinenye Okolo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 774 Ga Hwy 96, Bonaire, GA 31005 Phone: 478-988-5711 | |
Stacey Favre Renner, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96 Ste B, Bonaire, GA 31005 Phone: 478-352-7143 Fax: 478-352-7144 | |
Mrs. Laquita Charle Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Southshore Ct, Bonaire, GA 31005 Phone: 229-712-8884 | |
Shelby Giles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Old Highway 96 Ste B, Bonaire, GA 31005 Phone: 478-352-7143 | |
Ms. Roneseya Bentley Williams, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Moran Dr, Bonaire, GA 31005 Phone: 478-988-1282 Fax: 478-988-3120 | |
Karena Collins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Wildwood Trl, Bonaire, GA 31005 Phone: 479-957-8013 |