Individual
MR. KOLAWOLE OMODAYO ATANDEYI
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
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
073915
GA
207RN0300X
Nephrology Physician
073915
GA
Other
Enumeration date
06/05/2009
Last updated
05/23/2021
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