Organization
ODUWOLE ORGANIZATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEFIFAYO ODUWOLE M.D. (OWNER)
(678) 571-2956
Entity
Organization
Contact information
Practice address
1415 HIGHWAY 85 N STE 310-296, FAYETTEVILLE, GA 30214-7738
(678) 571-2956
(770) 234-5103
Mailing address
1415 HIGHWAY 85 N STE 310-296, FAYETTEVILLE, GA 30214-7738
(678) 571-2956
(770) 234-5103
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
042381
GA
Other
Enumeration date
10/16/2007
Last updated
05/07/2020
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