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Individual

DR. OLUROPO A AYENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2759 MOUNT ZION PKWY, SUITE C, JONESBORO, GA 30236-2568
(678) 289-8338
(770) 603-0515
Mailing address
2759 MOUNT ZION PKWY, SUITE C, JONESBORO, GA 30236-2568
(678) 289-8338
(770) 603-0515

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
043534
GA
261QU0200X
Urgent Care Clinic/Center
Primary
043534
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000794857C
GA
05
000794857D
GA
Enumeration date
06/06/2006
Last updated
07/06/2020
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