Individual provider · NPI-1

Dr. Omotayo Omolola Akinmade, M.D

Family Medicine · Stockbridge, GA

NPI number1467629964
StatusActive
Last updated in NPPESSep 29, 2014

Details

NPI
1467629964
Entity type
Individual (NPI-1)
Name
Dr. Omotayo Omolola Akinmade
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
May 14, 2008
Last updated
Sep 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine13939NHYes
207Q00000X Family Medicine71204GA

Practice location

150 Eagle Spring Ct
Suite A
Stockbridge, GA 30281-6330

Phone 678-289-7700

Mailing address

150 Eagle Spring Ct
Suite A
Stockbridge, GA 30281-6330

Phone 678-289-7700

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