Individual
DR. OMOROGIUWA O IGUOBADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 PEACOCK DR, WARNER ROBINS, GA 31088-3637
(478) 922-3074
(478) 922-3076
Mailing address
107 PEACOCK DR, WARNER ROBINS, GA 31088-3637
(478) 922-3074
(478) 922-3076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
074772
GA
208000000X
Pediatrics Physician
Primary
6188
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003171301
—
GA
Enumeration date
06/24/2013
Last updated
02/20/2020
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