Provider Demographics
NPI:1306414131
Name:AYONOTE, CLAUDIA OMOH
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:OMOH
Last Name:AYONOTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1556 GRANBY LN
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-7042
Mailing Address - Country:US
Mailing Address - Phone:770-744-2606
Mailing Address - Fax:
Practice Address - Street 1:1556 GRANBY LN
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-7042
Practice Address - Country:US
Practice Address - Phone:770-744-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No251E00000XAgenciesHome Health