Individual
DR. JUDE OGHO OKUGBENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 WEST PINE, FITZGERALD, GA 31750
(770) 279-0732
Mailing address
407 WEST PINE, FITZGERALD, GA 31750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
049543
GA
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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