Iguobadia, Omorogiuwa O

Iguobadia, Omorogiuwa O is an individual health care provider with primary practice located at 107 Peacock Dr , Warner Robins GA 31088-3637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Iguobadia, Omorogiuwa O can be contacted via phone (478) 922-3074.

Contact Information

Primary practice address
107 Peacock Dr Warner Robins GA 31088-3637
Phone: (478) 922-3074
Fax: (478) 922-3076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6188 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 074772 Georgia

Profile Details

NPI number 1841639713
LBN Legal business name Iguobadia, Omorogiuwa O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Feb 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841639713 NPPES
Georgia MEDICAID 003171301

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