Provider Demographics
NPI:1952768939
Name:NEIGHBORHOOD MEDICAL ASSOCIATES INC
Entity type:Organization
Organization Name:NEIGHBORHOOD MEDICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYIRIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:678-791-2696
Mailing Address - Street 1:2481 HURT RD SW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30008-6029
Mailing Address - Country:US
Mailing Address - Phone:678-791-2696
Mailing Address - Fax:678-890-5872
Practice Address - Street 1:2481 HURT RD SW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30008-6029
Practice Address - Country:US
Practice Address - Phone:678-791-2696
Practice Address - Fax:678-890-5872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN205364363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty