Individual
OGHENETEGIRI UREVBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN GAA- NP
Contact information
Practice address
PHILLIP'S PEDIATRICS, PC, 455 S MAIN STREET, STE 103, HINESVILLE, GA 31313
(912) 876-6868
(912) 876-6566
Mailing address
PHILLIP'S PEDIATRICS, PC, 455 S MAIN STREET, STE 103, HINESVILLE, GA 31313
(912) 876-6868
(912) 876-6566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP000025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
01/19/2021
Last updated
01/20/2021
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