Basic Information
Provider Information
NPI: 1437503679
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOKU
FirstName: MARGARET
MiddleName: NAA ADJELEY ODUA
NamePrefix: MS.
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 742616
Address2:  
City: ATLANTA
State: GA
PostalCode: 303742616
CountryCode: US
TelephoneNumber: 7702198420
FaxNumber:  
Practice Location
Address1: 4445 S LEE ST STE 100
Address2:  
City: BUFORD
State: GA
PostalCode: 305188806
CountryCode: US
TelephoneNumber: 7708485200
FaxNumber: 7708485201
Other Information
ProviderEnumerationDate: 04/13/2016
LastUpdateDate: 07/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN193890GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home