Individual
DR. CHRISTINE I TOLU-AJAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4120 FIVE FORKS TRICKUM RD SW STE 104, LILBURN, GA 30047-8975
(770) 935-9546
Mailing address
4120 FIVE FORKS TRICKUM RD SW STE 104, LILBURN, GA 30047-8975
(770) 935-9546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
010365
GA
207Q00000X
Family Medicine Physician
2021034914
MO
207Q00000X
Family Medicine Physician
Primary
88576
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326544255
—
GA
Enumeration date
03/31/2018
Last updated
12/18/2023
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