Individual
FAHIMOT OYINLOLA FADUYILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
(404) 362-0808
Mailing address
4905 COURTNEY DR, FOREST PARK, GA 30297-1427
(404) 366-3636
(404) 362-0808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101256414
VA
208000000X
Pediatrics Physician
Primary
072712
GA
Other
Enumeration date
07/17/2014
Last updated
04/28/2021
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