Provider Demographics
NPI:1225447196
Name:OJIAKU, FRANCIS IKWUDINMA
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:IKWUDINMA
Last Name:OJIAKU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 AVONLEA DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-1226
Mailing Address - Country:US
Mailing Address - Phone:678-509-4867
Mailing Address - Fax:678-658-9135
Practice Address - Street 1:165 AVONLEA DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-1226
Practice Address - Country:US
Practice Address - Phone:678-509-4867
Practice Address - Fax:678-658-9135
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA107-R-1184251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health