Individual
DR. ABDUL-FAISAL OLATUNDE AKESODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
777 HEMLOCK STREET, MSC 117, MACON, GA 31201
(478) 633-7550
(478) 633-3235
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5667
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
061548
GA
208M00000X
Hospitalist Physician
Primary
61548
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
585483063A
—
GA
Enumeration date
08/11/2008
Last updated
06/12/2018
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