Organization
MIANGO GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAMBERLAIN I OBIALO MD (OWNER)
(404) 459-9103
Entity
Organization
Contact information
Practice address
227 SANDY SPRINGS PL STE D-483, SANDY SPRINGS, GA 30328-5918
(404) 459-9103
Mailing address
227 SANDY SPRINGS PL STE D-483, SANDY SPRINGS, GA 30328-5918
(404) 459-9103
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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