Individual
MARIA OLUSHOLA ONATUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E PONCE DE LEON AVE STE 110, DECATUR, GA 30030-3467
(404) 501-6363
Mailing address
2021 PERNOSHAL CT, DUNWOODY, GA 30338-6405
(404) 778-6920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104562
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/05/2022
Last updated
09/18/2025
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