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Individual

KENNETH OBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11 JOHN MADDOX DR NW, ROME GI, ROME, GA 30165-1413
(706) 295-3992
(706) 378-5582
Mailing address
11 JOHN MADDOX DR NW, ROME GI, ROME, GA 30165-1413
(706) 295-3992
(706) 378-5582

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
075436
GA

Other

Enumeration date
07/13/2009
Last updated
03/15/2016
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