Organization
COLLECTIVE CONSULTING ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABIMBOLA ABOSEDE OKUNSANYA (PRESIDENT/OWNER)
(678) 379-4557
Entity
Organization
Contact information
Practice address
6555 SUGARLOAF PKWY, SUITE 307,#231, DULUTH, GA 30097-4930
(678) 379-4557
(678) 475-3992
Mailing address
6555 SUGARLOAF PKWY, SUITE 307,#231, DULUTH, GA 30097
(678) 379-4557
(678) 475-3992
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004091
GA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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