Individual
DR. AZEEZ POPOOLA ADEDUNTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 HAWTHORNE AVE, SUITE 600, ATHENS, GA 30606-2574
(706) 227-0871
(706) 227-0865
Mailing address
435 HAWTHORNE AVE, SUITE 600, ATHENS, GA 30606-2574
(706) 227-0871
(706) 227-0865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
040293
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00670381C
—
GA
Enumeration date
03/15/2006
Last updated
12/06/2007
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