Opanuga, Emmanuel A.

Opanuga, Emmanuel A. is an sole proprietor health care provider with primary practice located at 163 S Tallahassee St , Hazlehurst GA 31539-6465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Opanuga, Emmanuel A. can be contacted via phone (912) 375-7781.

Contact Information

Primary practice address
163 S Tallahassee St Hazlehurst GA 31539-6465
Phone: (912) 375-7781
Fax: (912) 375-4055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39428 Georgia

Profile Details

NPI number 1205815875
LBN Legal business name Opanuga, Emmanuel A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2006
Last updated Jan 23rd, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205815875 NPPES
Georgia MEDICAID 00646918K
Georgia Other 52677630004

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