Individual
DR. JACOB FUNSHO OYENIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2971
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2971
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
110682
GA
2085R0001X
Radiation Oncology Physician
4351048212
MI
Other
Enumeration date
07/12/2021
Last updated
06/17/2026
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