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Individual

MRS. GANIAT JAIYESINMI AJAYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
112 LANTHIER ST, WINDER, GA 30680-8100
(770) 910-9196
(404) 400-2077
Mailing address
PO BOX 1147, DACULA, GA 30019-0020
(770) 910-9196
(404) 400-2077

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
47776
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
097274712C
GA
Enumeration date
12/15/2006
Last updated
09/08/2016
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