Individual
OBINNAYA EMEROLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
654 1ST ST, MACON, GA 31201-2851
(478) 738-9443
(478) 738-9750
Mailing address
PO BOX 6135, MACON, GA 31208-6135
(478) 738-9443
(478) 738-9750
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000716493D
—
GA
Enumeration date
05/17/2006
Last updated
02/04/2013
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