Individual
DR. SAMSON ADEWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2009 LAWRENCEVILLE SUWANEE RD STE 100, SUWANEE, GA 30024-2612
(404) 644-3747
Mailing address
257 LAWRENCE ST NE UNIT 571, MARIETTA, GA 30061-2309
(404) 644-3747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33902
OK
207P00000X
Emergency Medicine Physician
92679
GA
207P00000X
Emergency Medicine Physician
MD.43245
AL
207Q00000X
Family Medicine Physician
33902
OK
207Q00000X
Family Medicine Physician
Primary
92679
GA
207Q00000X
Family Medicine Physician
MD.43245
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
05/23/2018
Last updated
01/21/2026
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