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Individual

EZIAMAKA OBUNADIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1968 HAWKS LN NE, BROOKHAVEN, GA 30329-2283
(404) 778-7142
Mailing address
11655 FOREST LAKE DR, ROLLA, MO 65401-7304
(773) 853-8141

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
081022
GA

Other

Enumeration date
10/30/2012
Last updated
11/30/2018
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