Individual
DR. KEHINDE OPEOLUWA IDOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(678) 838-2585
(678) 838-2587
Mailing address
80 JESSE HILL JR DR SE UNIT 9A, ATLANTA, GA 30303-3031
(404) 274-9386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80489
GEORGIA LICENSE
GA
Enumeration date
03/28/2015
Last updated
03/07/2023
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