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Individual

MR. ABIODUN O FAMAKINWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3000 SCHATULGA RD, COLUMBUS, GA 31907-3117
(706) 568-5000
(706) 568-5339
Mailing address
4343 WARM SPRINGS RD, # 1804, COLUMBUS, GA 31909-5902
(706) 568-5000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056096
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056096
LICENSE #
GA
Enumeration date
09/07/2005
Last updated
07/08/2007
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