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Organization

FATHER BLESS MY CLINIC LLC

Active
Other names
Father Bless My Clinic (FBMC) LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DOROTHY IGBONAGWAM DMP (CEO/ OWNER)
(678) 698-8120
Entity
Organization

Contact information

Practice address
1300 RIDENOUR BLVD NW, KENNESAW, GA 30152-4501
(770) 430-1708
Mailing address
1300 RIDENOUR BLVD NW, KENNESAW, GA 30152-4501
(678) 368-7560

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary

Other

Enumeration date
06/14/2024
Last updated
06/14/2024
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