| NPI | 1902422785 |
|---|---|
| Doing Business As | MICABY MEDICAL,PLLC |
| Entity Type | Organization |
| Authorized Contact | HEZEKIAH OLUWAROTIMI SOBAMOWO President 615-397-0896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-10-14 |