Organization
TRIDENT PULMONARY AND CRITICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKINLOYE JULIUS MAKANJUOLA (PRESIDENT)
(678) 545-8134
Entity
Organization
Contact information
Practice address
483 UPPER RIVERDALE RD SW STE E, RIVERDALE, GA 30274-2579
(678) 545-8134
Mailing address
483 UPPER RIVERDALE RD SW STE E, RIVERDALE, GA 30274-2579
(678) 545-8134
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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