Individual
KIKELOMO OLAMIDE OLAOSEBIKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1270 PRINCE AVE SUITE 201, ATHENS, GA 30606
(706) 475-7055
Mailing address
1199 PRINCE AVE #70, ATHENS, GA 30606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99204
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2021
Last updated
04/29/2024
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