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Organization
FATHER BLESS MY CLINIC LLC
Active
Organization
FATHER BLESS MY CLINIC LLC
Active
Other names
Father Bless My Clinic (FBMC) LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY IGBONAGWAM DMP (CEO/ OWNER)
(678) 698-8120
Entity
Organization
Contact information
Practice address
1300 RIDENOUR BLVD NW, KENNESAW, GA 30152-4501
(770) 430-1708
Mailing address
1300 RIDENOUR BLVD NW, KENNESAW, GA 30152-4501
(678) 368-7560
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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