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Individual

MR. KEHINDE OLUWASEYI FEMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
242 KING AVENUE STE 130, ATHENS, GA 30606
(706) 475-1870
Mailing address
1801 BEDFORD TRL, BOGART, GA 30622-3350

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10742
GA
207X00000X
Orthopaedic Surgery Physician
10742
GA
363A00000X
Physician Assistant
Primary
10742
GA

Other

Enumeration date
08/10/2021
Last updated
10/23/2024
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