Individual
DR. ANTHONIA OBIAGERI EKPENIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Contact information
Practice address
11 UPPER RIVERDALE RD SW, SOUTHERN REGIONAL MEDICAL CENTER, RIVERDALE, GA 30274-2615
(770) 991-8000
Mailing address
400 W PEACHTREE ST NW, UNIT 1116, ATLANTA, GA 30308-3536
(732) 822-9481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659577484
—
MO
05
—
200619920A
—
OK
05
—
200677910C
—
KS
Enumeration date
06/27/2007
Last updated
02/08/2016
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