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Organization
EMMANUEL O SOYOOLA MD PC
Active
Organization
EMMANUEL O SOYOOLA MD PC
Active
Other names
Olan Comprehensive Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL SOYOOLA M.D,PHD.,F.A.C.O.G. (PHYSICIAN/OWNER)
(770) 962-3700
Entity
Organization
Contact information
Practice address
2169 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-7710
(770) 962-3700
(770) 962-8063
Mailing address
2169 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30044-7710
(770) 962-3700
(770) 962-8063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
53032
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
53032
GA
208000000X
Pediatrics Physician
53032
GA
Other
Enumeration date
05/20/2009
Last updated
09/28/2010
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