# COLLECTIVE CONSULTING ENTERPRISE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194984690
- **Authorized official:** MRS. ABIMBOLA ABOSEDE OKUNSANYA (PRESIDENT/OWNER)
- **Authorized official phone:** (678) 379-4557

## Contact information

- **Practice address:** 6555 SUGARLOAF PKWY, SUITE 307,\#231, DULUTH, GA 30097-4930
- **Practice address phone:** (678) 379-4557
- **Practice address fax:** (678) 475-3992
- **Mailing address:** 6555 SUGARLOAF PKWY, SUITE 307,\#231, DULUTH, GA 30097
- **Mailing address phone:** (678) 379-4557
- **Mailing address fax:** (678) 475-3992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 004091 | GA | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008