Individual
JULIUS B ODERINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D .
Contact information
Practice address
5403 SANDY LK E, LITHONIA, GA 30038-3944
(478) 714-6901
Mailing address
5403 SANDY LK E, LITHONIA, GA 30038-3944
(478) 714-6901
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
036658
GA
207Q00000X
Family Medicine Physician
Primary
36658
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F69487
—
GA
Enumeration date
10/04/2006
Last updated
12/10/2016
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