Individual
ONAMEYORE UTUAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 HOSPITAL BLVD, 1ST FLOOR - ROOM 110, ROSWELL, GA 30076
(770) 751-2777
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
(770) 792-5451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME126916
FL
208M00000X
Hospitalist Physician
Primary
86191
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/26/2013
Last updated
03/02/2021
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