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Individual

DR. OLUWOLE LONGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
718 LAKESIDE VILLA DR, HAMPTON, GA 30228-6354
(678) 228-0484

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
060761
GA
207L00000X
Anesthesiology Physician
Primary
N1741
TX
282N00000X
General Acute Care Hospital
060761
GA

Other

Enumeration date
10/23/2008
Last updated
07/25/2025
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