Provider Demographics
NPI:1306662747
Name:ORITA LLC
Entity type:Organization
Organization Name:ORITA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:
Authorized Official - Last Name:ALOKO-OLAYINKA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:470-756-2158
Mailing Address - Street 1:4700 SIERRA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548-6368
Mailing Address - Country:US
Mailing Address - Phone:470-756-2158
Mailing Address - Fax:770-470-3154
Practice Address - Street 1:2855 CANDLER RD STE 7
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-1415
Practice Address - Country:US
Practice Address - Phone:470-756-2158
Practice Address - Fax:770-470-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty