Individual
LEVI BRICE EDOUNA OBAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
3120 OAKTON WAY SW, MARIETTA, GA 30060-6244
(404) 934-6674
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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