Individual
BABATUNDE A FAMUYIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-9996
(770) 979-1202
Mailing address
PO BOX 3559, SUWANEE, GA 30024-0993
(770) 979-9996
(770) 979-1202
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA539
STATE LICENSE
FL
Enumeration date
05/21/2013
Last updated
10/17/2022
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