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1326210493 NPI number — CHARITY OSAROBO UHUNMWANGHO MD

NPI Number: 1326210493
Health Care Provider/Practitioner: CHARITY OSAROBO UHUNMWANGHO MD

Information about “1326210493” NPI (CHARITY OSAROBO UHUNMWANGHO MD) exists in 1326210493 in HTML format HTML  |  1326210493 in plain Text format TXT  |  1326210493 in PDF (Portable Document Format) PDF  |  1326210493 in an XML format XML  formats.

NPI Number : 1326210493 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326210493",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "UHUNMWANGHO",
    "FirstName": "CHARITY",
    "MiddleName": "OSAROBO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1215 GEORGE C WILSON DR",
    "SecondLineMailingAddress": "SUITE B3",
    "MailingAddressCityName": "AUGUSTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30909-5700",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "706-860-3681",
    "MailingAddressFaxNumber": "706-860-3682",
    "FirstLinePracticeLocationAddress": "1215 GEORGE C WILSON DR",
    "SecondLinePracticeLocationAddress": "SUITE B3",
    "PracticeLocationAddressCityName": "AUGUSTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30909-5700",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "706-860-3681",
    "PracticeLocationAddressFaxNumber": "706-860-3682",
    "EnumerationDate": "03/29/2008",
    "LastUpdateDate": "07/26/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "060332",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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