Individual
DR. ANDREW OSAZE OBAMWONYI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
78 TH MEDICAL GROUP, 655 7TH STREET, BLDG 207, ROBINS AIR FORCE BASE, GA 31098-2227
(478) 327-7588
Mailing address
3431 SANDWEDGE CT, SNELLVILLE, GA 30039-4778
(770) 736-4928
(770) 736-4928
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
046892
GA
Other
Enumeration date
11/22/2005
Last updated
07/08/2007
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