Provider Demographics
NPI:1417082355
Name:NJOKU, MABEL I (MD)
Entity Type:Individual
Prefix:
First Name:MABEL
Middle Name:I
Last Name:NJOKU
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4536 NELSON BROGDON BLVD
Mailing Address - Street 2:BUILDING C
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518
Mailing Address - Country:US
Mailing Address - Phone:678-546-1110
Mailing Address - Fax:678-546-1142
Practice Address - Street 1:4536 NELSON BROGDON BLVD
Practice Address - Street 2:BUILDING C
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518
Practice Address - Country:US
Practice Address - Phone:678-546-1110
Practice Address - Fax:678-546-1142
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA042677208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics