Organization
FRONTLINE INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OGECHI H MBAKWE MD (SOLO OWNER)
(912) 681-8999
Entity
Organization
Contact information
Practice address
6 LESTER RD, STATESBORO, GA 30458-4786
(912) 681-8999
(912) 681-8989
Mailing address
PO BOX 1489, STATESBORO, GA 30459-1489
(912) 681-8999
(912) 681-8989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
69221
GA
Other
Enumeration date
07/11/2013
Last updated
10/04/2022
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