Okoduwa, Dominiq Eric

Okoduwa, Dominiq Eric is an individual health care provider with primary practice located at 126 Us Highway 280 W , Americus GA 31719-8645. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Okoduwa, Dominiq Eric can be contacted via phone (299) 924-6011.

Contact Information

Primary practice address
126 Us Highway 280 W Americus GA 31719-8645
Phone: (299) 924-6011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 010562 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 84498 Georgia

Profile Details

NPI number 1437653565
LBN Legal business name Okoduwa, Dominiq Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2018
Last updated Jun 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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