Individual
DR. MOBOLAJI O OGUNSAKIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 WATSON BLVD, WARNER ROBINS, GA 31093-3446
(478) 922-5122
(478) 922-5221
Mailing address
1420 WATSON BLVD, WARNER ROBINS, GA 31093-3446
(478) 922-5122
(478) 922-5221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
055136
GA
207RI0200X
Infectious Disease Physician
Primary
055136
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721242214A
—
GA
Enumeration date
08/19/2006
Last updated
06/30/2009
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