Individual
ROMANUS C OBIALOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-3800
Mailing address
5665 NEW NORTHSIDE DR, ATLANTA, GA 30328-5831
(770) 843-5870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
160724
GA
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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