| Dawn Primary Care | |
|
3595 Canton Rd Ste 314 Marietta GA 30066-2693 | |
| (678) 932-2138 | |
| Not Available |
| Full Name | Dawn Primary Care |
|---|---|
| Speciality | General Practice |
| Location | 3595 Canton Rd Ste 314, Marietta, Georgia |
| Authorized Official Name and Position | Aghogho Omene-iroro (PRESIDENT) |
| Authorized Official Contact | 6789322138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Primary Care 3595 Canton Rd Ste 314 Marietta GA 30066-2693 Ph: (678) 932-2138 | Dawn Primary Care 3595 Canton Rd Ste 314 Marietta GA 30066-2693 Ph: (678) 932-2138 |
| NPI Number | 1427830033 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 4880108497 |
|---|---|
| Medicare Enrollment ID | O20250707003526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427830033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Chukwunonso Chekwube Obijiofor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306349097 PECOS PAC ID: 2466794854 Enrollment ID: I20190506000965 |
| Provider Name | Oghaleoghene Kolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467916882 PECOS PAC ID: 5496161960 Enrollment ID: I20210308001804 |
| Provider Name | Kate Ure Urum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609460799 PECOS PAC ID: 3274926233 Enrollment ID: I20220215002249 |
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