# OMOLARA KUTEYI MD, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1235343088
- **Authorized official:** OMOLARA B KUTEYI MD (OWNER)
- **Authorized official phone:** (404) 284-7744

## Contact information

- **Practice address:** 3546 COVINGTON HWY, SUITE C, DECATUR, GA 30032-1823
- **Practice address phone:** (404) 284-7744
- **Practice address fax:** (404) 284-8006
- **Mailing address:** 1262 EMMA JEAN PL SW, MARIETTA, GA 30064-3798
- **Mailing address phone:** (404) 284-7744
- **Mailing address fax:** (404) 284-7744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 053776 | GA | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 12/07/2011