Individual
OLASENI AJIBADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 DEKALB MEDICAL PKWY, LITHONIA, GA 30058-4996
(404) 501-8000
Mailing address
3651 WHEELER RD, AUGUSTA, GA 30909-6426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
86155
GA
208M00000X
Hospitalist Physician
86155
GA
Other
Enumeration date
09/06/2012
Last updated
01/18/2024
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