Individual
DR. BOB AGBOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1136 CLEVELAND AVE, STE 305, EAST POINT, GA 30344-3618
(404) 669-9669
(404) 699-9668
Mailing address
1136 CLEVELAND AVE, STE 500, EAST POINT, GA 30344-3618
(404) 669-9669
(404) 699-9668
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
043839
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00789456A
—
GA
Enumeration date
04/20/2006
Last updated
10/09/2012
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