Organization
IJB HEALTHCARE SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUGBEMIGA A. OSOBA M.D. (OWNER)
(770) 331-8035
Entity
Organization
Contact information
Practice address
4780A ASHFORD DUNWOODY RD, SUITE 621, ATLANTA, GA 30338-5504
(770) 331-8035
(770) 458-1596
Mailing address
4780A ASHFORD DUNWOODY RD, SUITE 621, ATLANTA, GA 30338-5504
(770) 331-8035
(770) 458-1596
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
059300
GA
Other
Enumeration date
06/01/2010
Last updated
07/26/2010
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