Jack, Godly Obomate

Jack, Godly Obomate is an individual health care provider with primary practice located at 150 Gentilly Blvd , Cartersville GA 30120-8522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Jack, Godly Obomate can be contacted via phone (470) 490-6670.

Contact Information

Primary practice address
150 Gentilly Blvd Cartersville GA 30120-8522
Phone: (470) 490-6670
Fax: (770) 382-5762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 98756 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 98756 Georgia

Profile Details

NPI number 1114452588
LBN Legal business name Jack, Godly Obomate
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2017
Last updated Jun 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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