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Individual

DR. ABIMBOLA OLUFUNKE AKANJI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1867 REMOUNT RD, SUITE H, GASTONIA, NC 28054-7401
(704) 865-3848
(704) 854-3086
Mailing address
1867 REMOUNT RD, GASTONIA, NC 28054-7401
(704) 865-3848
(704) 854-3086

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101237553
VA
2084P0800X
Psychiatry Physician
Primary
2015-02254
NC
2084P0804X
Child & Adolescent Psychiatry Physician
0101237553
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659424448
MEDICAID - NPI
VA
Enumeration date
08/15/2006
Last updated
02/09/2016
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