Healthcare Provider Details

I. General information

NPI: 1316205289
Provider Name (Legal Business Name): FIRST GLOBAL HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 TURNER MCCALL BLVD SW
ROME GA
30165-5621
US

IV. Provider business mailing address

PO BOX 205
CAVE SPRING GA
30124-0205
US

V. Phone/Fax

Practice location:
  • Phone: 706-509-4179
  • Fax:
Mailing address:
  • Phone: 800-222-1335
  • Fax: 410-819-0712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. OLUJIDE BAMIRO
Title or Position: PRESIDENT
Credential: MD
Phone: 646-369-9420