Provider Demographics
NPI:1649018870
Name:DINMA MEDICAL GROUP, P.A.
Entity type:Organization
Organization Name:DINMA MEDICAL GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NNAKWUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-398-9215
Mailing Address - Street 1:512 COLEBROOK WAY
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1294
Mailing Address - Country:US
Mailing Address - Phone:314-398-9215
Mailing Address - Fax:
Practice Address - Street 1:512 COLEBROOK WAY
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1294
Practice Address - Country:US
Practice Address - Phone:314-398-9215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-20
Last Update Date:2024-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care