Individual
IYABO OKUWOBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1438 MCLENDON DR, DECATUR, GA 30033-1802
(770) 414-0337
(770) 414-0354
Mailing address
1438 MCLENDON DR, DECATUR, GA 30033-1802
(770) 414-0337
(770) 414-0354
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000944116G
—
GA
Enumeration date
05/16/2006
Last updated
06/17/2013
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