| Doctor Name: | DR. PATRICIA CHINWENWA UBANI-EBERE |
| NPI Number: | 1932177102 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 042618 |
| Business Practice Address: | 7007 Williams Street Suite C Box 120 Greenville, GA - 30222 |
| Business Phone Number: | 7066724818 |
| Business Fax Number: | 7066721593 |
| Mailing Address: | 7007-c Williams Street, Po Box 1120 GREENVILLE |
| State: | GA |
| Postal Code: | 30222 |
| Phone Number: | 7066720208 |
| Fax Number: | 7066721593 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 09/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 042618 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |