Atekha, Courage A
Atekha, Courage A is an sole proprietor health care provider with primary practice located at 1030 Bermuda Run , Statesboro GA 30458-0858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Technologists, Technicians & Other Technical Service Providers / Renal Dialysis. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Atekha, Courage A can be contacted via phone (912) 764-8396.Contact Information
Primary practice address
1030 Bermuda Run
Statesboro GA 30458-0858
Phone: (912) 764-8396
Fax: (912) 764-7188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 049266 | Georgia |
| Technologists, Technicians & Other Technical Service Providers / Renal Dialysis | 2472R0900X | 049266 | Georgia |
Profile Details
| NPI number | 1124119219 |
|---|---|
| LBN Legal business name | Atekha, Courage A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 7th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124119219 | NPPES |
| Georgia | MEDICAID | 000933413K,L,M,N,O,P |
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