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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NKEMAKONAM EGOLUM, DDS

Active

DR. NKEMAKONAM EGOLUM, DDS is a Oral & Maxillofacial Surgery healthcare provider located in JOHNS CREEK, Georgia. NPI 1992142806 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · JOHNS CREEK, GA

Registration Details

NPI Number
1992142806
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2013 (13.242052947556 yrs)
Last Updated
Oct 12, 2023
License
DN122975 (GA)

Practice Information

Address
10700 MEDLOCK BRIDGE RD STE 204
JOHNS CREEK, GA, 300978455
Browse GA providers · Browse ZIP 30097
Phone
7707640840
Fax
7707640870
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.