Individual provider · NPI-1

Dr. Olufolarin Akanfe Ajao, M.D.

Internal Medicine · Gastonia, NC

NPI number1528059920
StatusActive
Last updated in NPPESFeb 17, 2010

Details

NPI
1528059920
Entity type
Individual (NPI-1)
Name
Dr. Olufolarin Akanfe Ajao
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 3, 2005
Last updated
Feb 17, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine95-01167NCYes

Practice location

2664 Court Drive
Suite A
Gastonia, NC 28054-1449

Phone 704-861-9030 · Fax 704-833-1234

Mailing address

2664 Court Drive
Suite A
Gastonia, NC 28054-1449

Phone 704-861-9030 · Fax 704-833-1234

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