Individual
DR. AYORINDE SOIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
3545 CRUSE RD STE 103, LAWRENCEVILLE, GA 30044-3169
(470) 227-8130
(470) 747-7588
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-3834
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
98199
GA
208D00000X
General Practice Physician
98199
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
01/20/2024
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