Individual
MR. JOHANN KURT OHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1670 CLAIRMONT RD, 111-GI, DECATUR, GA 30033-4004
(404) 321-6111
(404) 728-7746
Mailing address
2493 HAWTHORNE DR NE, ATLANTA, GA 30345-2043
(770) 939-5897
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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