Individual
DR. OBINWANNE FIDELIS C UGWONALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342-1705
(404) 355-0743
(404) 425-1071
Mailing address
5505 PEACHTREE DUNWOODY RD NE, SUITE 600, ATLANTA, GA 30342-1705
(404) 355-0743
(404) 425-1071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
057508
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
057508
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112272
—
MA
01
—
478817
TUFTS HEALTH PLAN
MA
01
—
J29526
BCBS MA
MA
Enumeration date
02/24/2006
Last updated
03/02/2026
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