Individual provider · NPI-1

Dr. Samson Adewale, MD

Family Medicine · Suwanee, GA

NPI number1346731635
StatusActive
Last updated in NPPESJan 21, 2026

Details

NPI
1346731635
Entity type
Individual (NPI-1)
Name
Dr. Samson Adewale
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 23, 2018
Certification date
Jan 21, 2026
Last updated
Jan 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine92679GAYes
207Q00000X Family MedicineMD.43245AL
207P00000X Emergency Medicine92679GA
207Q00000X Family Medicine33902OK
207P00000X Emergency Medicine33902OK
207P00000X Emergency MedicineMD.43245AL

Practice location

2009 Lawrenceville Suwanee Rd Ste 100
Suwanee, GA 30024-2612

Phone 404-644-3747

Mailing address

257 Lawrence St Ne Unit 571
Marietta, GA 30061-2309

Phone 404-644-3747

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