Individual
CHINASA OGBOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
560 THORNTON RD STE 120, LITHIA SPRINGS, GA 30122-1659
(678) 840-8446
Mailing address
1717 ANNISTON DR, MCDONOUGH, GA 30253-9051
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN302354
GA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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