Individual
DR. OLUSEGUN SONNY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 452-0897
Mailing address
5925 BEAVER RIDGE DR, CUMMING, GA 30040-0240
(404) 542-2731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101245550
VA
207Q00000X
Family Medicine Physician
Primary
059982
GA
207Q00000X
Family Medicine Physician
2024016618
MO
208M00000X
Hospitalist Physician
2024016618
MO
208M00000X
Hospitalist Physician
203985
LA
Other
Enumeration date
04/10/2008
Last updated
05/08/2025
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