Individual
ABOSEDE IDOWU AKINTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 CORPORATE CENTER DR STE 200, MORROW, GA 30260-4129
(770) 968-6460
Mailing address
3505 BRIDGE MILL CT, NORCROSS, GA 30092-7617
(770) 393-2903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
003036
GA
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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