Individual
OLUFUNSO A OJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
8225 MALL PKWY, SUITE 240, LITHONIA, GA 30038-6946
(770) 484-3092
(770) 484-3096
Mailing address
PO BOX 451228, ATLANTA, GA 31145-9228
(770) 484-3092
(770) 484-3096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054004
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
054004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
619739917B
—
GA
Enumeration date
05/20/2006
Last updated
11/26/2012
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