Provider Demographics
NPI:1407235211
Name:OKORO, CHINONYEREM UZOAMAKA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINONYEREM
Middle Name:UZOAMAKA
Last Name:OKORO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2400 MOUNT ZION PKWY
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2500
Mailing Address - Country:US
Mailing Address - Phone:770-603-3562
Mailing Address - Fax:770-603-3819
Practice Address - Street 1:2400 MOUNT ZION PKWY
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2500
Practice Address - Country:US
Practice Address - Phone:770-603-3562
Practice Address - Fax:770-603-3819
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD470182208800000X
GA89887208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology