Individual
DR. ANTHONY ADETOLA ODUBANJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 JOHNSON FERRY RD STE 500, ATLANTA, GA 30342-1630
(404) 257-0006
(404) 851-1316
Mailing address
960 JOHNSON FERRY RD STE 500, ATLANTA, GA 30342-1630
(404) 257-0006
(404) 851-1316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD22279
ME
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
86557
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2014
Last updated
07/02/2022
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