Obatala Ombu, MA is a
Psychologist - Forensic based in Kingstree, South Carolina. Obatala Ombu is licensed to practice in * (Not Available) (license number ) and his current practice location is
209 Short St, Kingstree, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 372-5959.
NPI number for Obatala Ombu is 1184969347 and his current mailing address is Po Box 697, Kingstree, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184969347.
Healthcare Provider's Profile
| Full Name | Obatala Ombu |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Forensic |
|---|
| Location | 209 Short St, Kingstree, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184969347
- Provider Enumeration Date: 11/29/2012
- Last Update Date: 11/29/2012
Medical Identifiers
Medical identifiers for Obatala Ombu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184969347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Obatala Ombu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Obatala Ombu, MA
Po Box 697,
Kingstree, SC 29556-0697
Ph: (843) 355-2772 | Obatala Ombu, MA
209 Short St,
Kingstree, SC 29556-3926
Ph: (843) 372-5959 |
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