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PAMELA MOKOKO NPI 1336684117


NPI Information

NPI: 1336684117
Provider Name: PAMELA MOKOKO
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
165 WILLOW OAK DR
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 224-1156
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PAMELA MOKOKO is a mental health (including community mental health center) clinic center in Richmond Hill, GA. PAMELA MOKOKO NPI is 1336684117. The provider is registered as an organization entity type.

The provider's business location address is:

165 WILLOW OAK DR
RICHMOND HILL, GA
ZIP 31324-069
Phone: (912) 224-1156

The provider's authorized official is Pamela E Mokoko .
The authorized official title is President and has the following contact phone number (912) 224-1156.

The enumeration date for this NPI number is 1/3/2017 and was last updated on 1/3/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)GEORGIAYes
2261QP2300XClinic/CenterPrimary CareGEORGIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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