Individual
DR. OLUWASEUN ODEWOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD,MPH
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(678) 838-2585
(678) 838-2587
Mailing address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(678) 838-2585
(678) 838-2587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
80354
GA
208M00000X
Hospitalist Physician
Primary
80354
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
01/06/2020
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