Organization
OB-GYN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK IKE OJUKWU MD (PHYSICIAN)
(770) 507-4842
Entity
Organization
Contact information
Practice address
1018 HOSPITAL DR, STOCKBRIDGE, GA 30281-7384
(770) 507-4842
(770) 507-6964
Mailing address
1018 HOSPITAL DR, STOCKBRIDGE, GA 30281-7384
(770) 507-4842
(770) 507-6964
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
050047
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121101876A
—
GA
Enumeration date
03/01/2007
Last updated
11/12/2008
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