Individual
CHAMBERLAIN I OBIALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 HOWELL MILL RD, STE 275, ATLANTA, GA 30318-2538
(404) 756-1480
Mailing address
75 PIEDMONT AVE NE, STE 700, ATLANTA, GA 30303-2544
(404) 756-1400
(404) 756-1402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
038321
GA
207RN0300X
Nephrology Physician
Primary
038321
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00061874U
—
GA
Enumeration date
07/22/2005
Last updated
05/28/2015
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