Individual
DR. OLANREWAJU OLAYEMI LADIPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4600 W VILLAGE PL SE, STE 4011, SMYRNA, GA 30080-9204
(404) 454-6785
Mailing address
4600 W VILLAGE PL SE, STE 4011, SMYRNA, GA 30080-9204
(404) 454-6785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
67791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031228797
—
GA
Enumeration date
01/16/2011
Last updated
07/23/2015
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