Search › Georgia › 374U00000X
Justin Otiwu
NPI 1457626848 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3965 Bradford Walk Trl
Buford, GA 30519 - Phone
- (770) 355-4114
- Organisation at this address
- First Trinity Homecareservices Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia