Provider Demographics
NPI:1609573054
Name:ANUMBA, OBIANUJU PRECIOUS
Entity Type:Individual
Prefix:MS
First Name:OBIANUJU
Middle Name:PRECIOUS
Last Name:ANUMBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OBIANUJU
Other - Middle Name:
Other - Last Name:ANUMBA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:110 LENORE CT
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:GA
Mailing Address - Zip Code:30141-2043
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 LENORE CT
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:GA
Practice Address - Zip Code:30141-2043
Practice Address - Country:US
Practice Address - Phone:678-983-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health