LIBERTY ODINAMADU UBANI

LAWRENCEVILLE, GA
NPI1386226173
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207LC0200X Anesthesiology, Critical Care Medicine
(Licence: GA  RN221108)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  RN221108)
Enumeration Date2021-04-22
Last Update Date2023-12-11
Business Address
LIBERTY ODINAMADU UBANI AGANCP-BC
1272 MARLTON CHASE DR
LAWRENCEVILLE, GA 30044-2011
Phone number: 404-966-9572
Mailing Address
LIBERTY ODINAMADU UBANI AGANCP-BC
1272 MARLTON CHASE DR
LAWRENCEVILLE, GA 30044-2011
Phone number: 404-966-9572