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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAVIER OBESO, MD

Deactivated

DR. JAVIER OBESO, MD is a Student (Health Education/Training) healthcare provider located in DALTON, Georgia. NPI 1902591159 is deactivated in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · DALTON, GA

This NPI has been deactivated. The record was deactivated on November 9, 2023. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1902591159
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2023 (0.59562841530055 yrs)
Last Updated
Oct 3, 2024
Deactivated
Nov 9, 2023
License
15059 (GA)

Practice Information

Address
1432 BROADRICK DRIVE
DALTON, GA, 30720
Browse GA providers · Browse ZIP 30720
Phone
7062268990
Fax
7065295317
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in DALTON, GA

Name Credential NPI
ASHLEY JOHNSON 1538524939
TIFFANY NICOLE TURNER D.O. 1992202568
DR. CLAIRE-LOUISE SOPHIA YOUNG MD 1447894092
MRS. DANIELLA EVA SANKOVIC MD 1326677428
DR. LILIIA HARRIS MD 1326662495
DR. MOHAMMAD ALQAISIEH MD 1972253425
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.