Individual
ADEKUNLE EMMANUEL OLUWADARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD MSC
Contact information
Practice address
1342 AUBURN RD, DACULA, GA 30019-1674
(770) 237-8150
(678) 889-9546
Mailing address
3592 HUDDLESTONE LN, BUFORD, GA 30519-4652
(610) 800-1125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG001715
PA
152WC0802X
Corneal and Contact Management Optometrist
Primary
GA2345
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA2345
LICENSE TO PRACTICE OPTOMETRY
GA
Enumeration date
10/06/2005
Last updated
02/26/2025
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