Individual
BOLAJI T ODUSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1155 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043-5425
(678) 442-0205
(678) 442-0185
Mailing address
1155 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043-5425
(678) 442-0205
(678) 442-0185
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042380
GA
Other
Enumeration date
04/28/2006
Last updated
05/01/2012
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