Individual
OLADIRAN OLADAPO AMOSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
210 GRISTMILL DR, FAYETTEVILLE, GA 30215-7505
(770) 716-2248
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
053080
GA
207L00000X
Anesthesiology Physician
Primary
53080
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059926111B
—
GA
Enumeration date
05/16/2006
Last updated
03/07/2023
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