Individual
DR. EDWARD AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 LAKE PARK DR SE, SUITE 218, SMYRNA, GA 30080-7647
(770) 438-1030
(770) 438-1125
Mailing address
1850 LAKE PARK DR SE, SUITE 218, SMYRNA, GA 30080-7647
(770) 438-1030
(770) 438-1125
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
037935
GA
2084P0800X
Psychiatry Physician
37935
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000630858C
—
GA
Enumeration date
07/31/2006
Last updated
02/27/2019
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