Individual
DR. IYABO O OTEKUNRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BRIARCLIFF RD NE, ATLANTA, GA 30306-2618
(404) 698-4281
Mailing address
1410 WILLOW LAKE DR NE, ATLANTA, GA 30329-2804
(678) 886-9651
Taxonomy
Speciality
Code
Description
License number
State
102X00000X
Poetry Therapist
—
—
133N00000X
Nutritionist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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