Provider Demographics
NPI:1467890145
Name:AKOH, CRAIG CHIKE (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:CHIKE
Last Name:AKOH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N PARK PL
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-7209
Mailing Address - Country:US
Mailing Address - Phone:770-892-0300
Mailing Address - Fax:470-878-1495
Practice Address - Street 1:135 N PARK PL
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-7209
Practice Address - Country:US
Practice Address - Phone:770-892-0300
Practice Address - Fax:470-878-1495
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI69319207XX0005X
IL036152796207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine