Individual
EBOB BESONG OGORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2401 NEWNAN CROSSING BLVD E STE 200, NEWNAN, GA 30265-2409
(770) 400-7700
Mailing address
1199 PRINCE AVE # 70, ATHENS, GA 30606-2797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91663
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2019
Last updated
08/02/2022
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