Individual
OLUSEUN AFOLABI OLUFADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3855 PLEASANT HILL RD, SUITE 470, DULUTH, GA 30096-1407
(770) 813-8888
Mailing address
3855 PLEASANT HILL RD, SUITE 470, DULUTH, GA 30096-1407
(770) 813-8888
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070224
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
070224
GA
208VP0014X
Interventional Pain Medicine Physician
070224
GA
Other
Enumeration date
08/07/2007
Last updated
07/31/2013
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