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Contact Information

STAN E MOKOKO SR, MD
163 WILLOW OAK DRIVE
RICHMOND HILL, GA31324
 Phone: 951-324-7625
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for STAN E MOKOKO SR · (Male)

NPI # 1336994110
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2024
Last updated 04/09/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 102105
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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