Individual provider · NPI-1

Olufunsho Adekunle, MD

Internal Medicine · Newnan, GA

NPI number1275982209
StatusActive
Last updated in NPPESMar 6, 2024

Details

NPI
1275982209
Entity type
Individual (NPI-1)
Name
Olufunsho Adekunle
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2016
Certification date
Mar 6, 2024
Last updated
Mar 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine83571GAYes
208M00000X Hospitalist83571GA

Practice location

745 Poplar Rd
Newnan, GA 30265-1618

Phone 770-400-2353

Mailing address

Po Box 742616
Atlanta, GA 30374-2616

Phone 770-219-8420

Other practice locations

720 Westview Dr Sw
Atlanta, GA 30310-1458

Phone 404-756-1368

720 Westview Dr Sw
Atlanta, GA 30310-1458

Phone 404-756-1368

743 Spring St Ne
Gainesville, GA 30501

Phone 770-219-9000

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