Individual
DR. AKIN OGUNDIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Mailing address
55 WHITCHER ST NE, STE 460, MARIETTA, GA 30060-1171
(770) 427-7389
(770) 427-2845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
050237
GA
207RN0300X
Nephrology Physician
Primary
GA050237
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000918079B
—
GA
05
—
000918079C
—
GA
05
—
000918079D
—
GA
05
—
000918079E
—
GA
05
—
000918079F
—
GA
05
—
000918079G
—
GA
05
—
000918079H
—
GA
05
—
000918079K
—
GA
05
—
000918079L
—
GA
05
—
000918079M
—
GA
05
—
000918079N
—
GA
05
—
000918079O
—
GA
05
—
000918079P
—
GA
05
—
000918079Q
—
GA
05
—
000918079R
—
GA
05
—
000918079S
—
GA
05
—
000918079T
—
GA
05
—
000918079U
—
GA
05
—
000918079V
—
GA
05
—
000918079Y
—
GA
05
—
00918079A
—
GA
Enumeration date
06/10/2005
Last updated
08/01/2019
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