Individual
MRS. OBY OMESIETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2336 WISTERIA DR STE 120, SNELLVILLE, GA 30078-6162
(770) 864-9398
(678) 252-2179
Mailing address
2336 WISTERIA DR STE 120, SNELLVILLE, GA 30078-6162
(770) 864-9398
(678) 252-2179
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN176089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235459090
—
GA
Enumeration date
05/15/2024
Last updated
05/15/2024
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