Okuwobi, Iyabo
Okuwobi, Iyabo is an individual health care provider with primary practice located at 1438 Mclendon Dr , Decatur GA 30033-1802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Okuwobi, Iyabo can be contacted via phone (770) 414-0337.Contact Information
Primary practice address
1438 Mclendon Dr
Decatur GA 30033-1802
Phone: (770) 414-0337
Fax: (770) 414-0354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 051008 | Georgia |
Profile Details
| NPI number | 1629029293 |
|---|---|
| LBN Legal business name | Okuwobi, Iyabo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 17th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629029293 | NPPES |
| Georgia | MEDICAID | 000944116G |
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