Individual provider · NPI-1

Olumide Adeniyl Ajayi, M.D.

Family Medicine · Lagrange, GA

NPI number1821228255
StatusActive
Last updated in NPPESMay 15, 2025

Details

NPI
1821228255
Entity type
Individual (NPI-1)
Name
Olumide Adeniyl Ajayi
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 20, 2009
Certification date
May 15, 2025
Last updated
May 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine076284GAYes
207Q00000X Family MedicineRL11257ND
207Q00000X Family Medicine11941ND

Practice location

106 Old Mill Rd Ste 100
Lagrange, GA 30241-6704

Phone 706-803-8500

Mailing address

106 Old Mill Rd Ste 100
Lagrange, GA 30241-6704

Phone 706-803-8500

Other practice locations

1000 South Columbia Road
Grand Forks, ND 58206-6002

Phone 701-780-5000 · Fax 701-780-6860

1497 Lafayette Pkwy
Lagrange, GA 30241-2552

Phone 706-880-7335 · Fax 706-812-2403

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