Individual
GRACE OLUWASEYI OLATUNJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
120 HAWTHORNE PARK, ATHENS, GA 30606-2147
(706) 353-8700
Mailing address
1199 PRINCE AVE # 70, ATHENS, GA 30606-2797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100157
GA
Other
Enumeration date
06/17/2021
Last updated
09/12/2024
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