Individual
SAMUEL OKWUDILI OBUROTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 PEACHTREE INDUSTRIAL BLVD STE 201-B, NORCROSS, GA 30092-6640
(770) 209-9998
Mailing address
7001 PEACHTREE INDUSTRIAL BLVD STE 201-B, NORCROSS, GA 30092-6640
(770) 209-9998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2006008191
GA
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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