Provider Demographics
NPI:1851585483
Name:OJILE, ENE (MD)
Entity Type:Individual
Prefix:DR
First Name:ENE
Middle Name:
Last Name:OJILE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ENE
Other - Middle Name:
Other - Last Name:OJILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:135 MONARCH DR
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-4113
Mailing Address - Country:US
Mailing Address - Phone:404-965-0874
Mailing Address - Fax:404-965-0877
Practice Address - Street 1:3379 PEACHTREE RD NE STE 555
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1418
Practice Address - Country:US
Practice Address - Phone:404-965-0874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428198208100000X
NY245915208100000X
GA68551208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation