Organization
GEORGIA COMPREHENSIVE FAMILY CLINIC AND NATURAL HEALTH
Active
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
Update your record
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