Individual
MR. AYODEJI MOSES OLULORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 BLUE HERON PASS, POWDER SPRINGS, GA 30127-2399
(404) 822-0318
(770) 439-8171
Mailing address
3111 BLUE HERON PASS, POWDER SPRINGS, GA 30127-2399
(404) 822-0318
(770) 439-8171
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
F02190775
GA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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