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Individual

DR. ABIODUN G OLATIDOYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(770) 991-2100
(770) 991-1180
Mailing address
6507 PROFESSIONAL PL, RIVERDALE, GA 30274-4941
(770) 991-2100
(770) 991-1180

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
048556
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000117709
GA
Enumeration date
04/06/2006
Last updated
02/25/2008
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