Individual
CHRISTAIN C. OHAGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5820 OLD NATIONAL HIGHWAY, STE 250, COLLEGE PARK, GA 30349-3212
(770) 997-1565
(770) 997-1568
Mailing address
5820 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-3212
(770) 997-1565
(770) 997-1568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
039888
GA
208000000X
Pediatrics Physician
039888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00685033J
—
GA
01
—
10033956
AMERIGROUP
GA
01
—
52624568002
BLUE CROSS BLUE SHIELD
GA
Enumeration date
03/08/2007
Last updated
08/12/2016
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