Mc Jo LLC
NPI #1457737926 in Douglasville, Georgia
Provider Information
- NPI Number
- 1457737926
- Entity Type
- Organization
- Organization Name
- Mc Jo LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Aug 6, 2015
- Last Updated
- Aug 6, 2015
Practice Location
- Address
- 4505 RIVER STONE TRL
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-8678
- Phone
- (678) 836-9799
Authorized Official
- Name
- DR. OBINNA OKECHUKWU OLOWU
- Title
- ADMINISTRATOR
- Phone
- (678) 836-9799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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