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Individual

DR. TEMITOPE K FAPOHUNDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1757 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-7303
(770) 474-7151
(770) 506-1916
Mailing address
1757 ROCK QUARRY RD, STOCKBRIDGE, GA 30281-7303
(770) 474-7151
(770) 506-1915

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
059005
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
059005
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
308694910G
GA
Enumeration date
06/04/2007
Last updated
04/03/2020
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