# LIBERTY ODINAMADU UBANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386226173
- **Gender:** Man
- **Credential:** AGANCP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | RN221108 | GA | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | RN221108 | GA | — |

## Other

- **Enumeration date:** 04/22/2021
- **Last updated:** 12/11/2023
