Individual
DR. OLADAYO ADISA OSINUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1170 CLEVELAND AVE, ATLANTA, GA 30344-3615
(404) 466-1170
(866) 611-0715
Mailing address
480 JOHN WESLEY DOBBS AVE NE UNIT 403, ATLANTA, GA 30312-5328
(404) 684-7111
(866) 611-0715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51703
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000956733K
—
GA
Enumeration date
01/28/2006
Last updated
12/18/2020
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