Organization
GEORGIA COMPREHENSIVE FAMILY CLINIC AND NATURAL HEALTH
Active
Other names
Centurion Business Concepts
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI OBIALOR N.P (REGISTERED AGENT)
(404) 547-2859
Entity
Organization
Contact information
Practice address
1065 PLEASANT HILL RD, LAWRENCEVILLE, GA 30044-3331
(404) 547-2859
Mailing address
4346 JONES BRIDGE CIR, PEACHTREE CORNERS, GA 30092-1007
(404) 547-2859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206149
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982008587
—
GA
Enumeration date
05/07/2018
Last updated
05/07/2018
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