Michael O'bannon
NPI #1750771531 in Snellville, Georgia
Provider Information
- NPI Number
- 1750771531
- Entity Type
- Individual
- Name
- Michael O'bannon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jan 30, 2015
- Last Updated
- Jan 30, 2015
Practice Location
- Address
- 3708 CHINABERRY LN
- City
- Snellville
- State
- Georgia
- ZIP Code
- 30039-4053
- Phone
- (678) 768-4096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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