Individual
NAGIMESI AUDREY OBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 732-4022
Mailing address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(470) 732-4022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35813
AZ
207R00000X
Internal Medicine Physician
074429
GA
208M00000X
Hospitalist Physician
Primary
074429
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132053
—
AZ
Enumeration date
08/31/2006
Last updated
12/07/2022
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