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Individual

DR. FEYI MOSUNMOLA WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
7325 W DESCHUTES AVE, SUITE B2, KENNEWICK, WA 99336-6705
(509) 374-1190
(509) 374-1270

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
067040
GA
207R00000X
Internal Medicine Physician
38014
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1110915
WA
Enumeration date
04/26/2006
Last updated
12/27/2017
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