Individual
DR. JENNIFER IFEOMA OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 TREE LN STE 200, SNELLVILLE, GA 30078-2060
(770) 979-0367
(770) 979-1830
Mailing address
2210 MOONHAVEN WAY, LAWRENCEVILLE, GA 30043-4954
(571) 282-7960
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
84046
GA
207RP1001X
Pulmonary Disease Physician
Primary
84046
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2012
Last updated
05/06/2026
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