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Individual

DR. EWALOLA AYO IJADUOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046-8762
(404) 645-7150
(678) 433-9152
Mailing address
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046-8762
(404) 645-7150
(678) 433-9152

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2016042861
MO
207RN0300X
Nephrology Physician
81738
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/13/2012
Last updated
06/04/2020
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