Individual
DR. TIMOTHY IMOLEAYO SOBUKONLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1368
(404) 756-1313
Mailing address
1194 REALM LN, LAWRENCEVILLE, GA 30044-2679
(580) 695-5114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92347
GA
Other
Enumeration date
03/20/2019
Last updated
08/31/2022
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