Ogwotu, Ralph

Ogwotu, Ralph is an individual health care provider with primary practice located at 6572 River Park Dr Ste 101 , Riverdale GA 30274-2214. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ogwotu, Ralph can be contacted via phone (404) 514-3498.

Contact Information

Primary practice address
6572 River Park Dr Ste 101 Riverdale GA 30274-2214
Phone: (404) 514-3498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN233148 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 233148 Georgia

Profile Details

NPI number 1144674581
LBN Legal business name Ogwotu, Ralph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2016
Last updated Feb 8th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144674581 NPPES
Georgia MEDICAID 1144674581

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