Provider Demographics
NPI:1548896731
Name:OKWOCHE, VERONICA ORIAKO (PHD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:ORIAKO
Last Name:OKWOCHE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11130 STATE BRIDGE RD STE E101
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-2641
Mailing Address - Country:US
Mailing Address - Phone:678-502-0016
Mailing Address - Fax:
Practice Address - Street 1:11130 STATE BRIDGE RD STE E101
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-2641
Practice Address - Country:US
Practice Address - Phone:678-537-1068
Practice Address - Fax:478-419-3990
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education