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Individual

ABIMBOLA ABIODUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 995-1573
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 995-1573
(404) 778-0826

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004583
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047697566A
GA
Enumeration date
10/03/2006
Last updated
08/19/2025
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