Individual
GAIL OHAEGBULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1045 SOUTHCREST DR STE 100, STOCKBRIDGE, GA 30281-6119
(321) 439-8944
Mailing address
770 JUNIPER ST NE, ATLANTA, GA 30308-2194
(321) 439-8944
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
28604
MS
207VM0101X
Maternal & Fetal Medicine Physician
Primary
100544
GA
Other
Enumeration date
04/06/2017
Last updated
08/25/2024
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