Individual
DR. JOHN LOUIS-UGBO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 514-8976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
063090
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
063090
GA
Other
Enumeration date
01/24/2008
Last updated
10/28/2022
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