Individual
PATRICIA RENEE OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017895
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3377799
—
TN
01
—
621861114
TAX ID
TN
Enumeration date
05/23/2005
Last updated
03/18/2010
Update your record
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