Provider Demographics
NPI:1932934262
Name:UZOHO, OBINNA EMMANUEL (OD)
Entity type:Individual
Prefix:DR
First Name:OBINNA
Middle Name:EMMANUEL
Last Name:UZOHO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 FAWNDALE DR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-3959
Mailing Address - Country:US
Mailing Address - Phone:404-834-3825
Mailing Address - Fax:
Practice Address - Street 1:915 RIDGEWALK PKWY STE 425
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-0119
Practice Address - Country:US
Practice Address - Phone:770-592-7413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program