Individual
DR. OSAGIE OSARUME OKUNDAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4550 COBB PARKWAY NORTH NW, SUITE 213, ACWORTH, GA 30101-4180
(770) 974-8479
(770) 974-8710
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
055488
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
749760085F
—
GA
05
—
749760085G
—
GA
Enumeration date
12/26/2006
Last updated
12/02/2019
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