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Individual

DR. OJORU OSUNKOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4112 E. PONCE DE LEON, CLARKSTON, GA 30021
(404) 296-7133
Mailing address
4112 E. PONCE DE LEON, CLARKSTON, GA 30021
(404) 296-7133

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
059578
GA
208000000X
Pediatrics Physician
23461
OK

Other

Enumeration date
05/23/2006
Last updated
09/11/2012
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