Organization
GEORGIA UNIVERSAL LUNGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKINLOYE JULIUS MAKANJUOLA MD (MANAGER/OWNER)
(806) 433-5496
Entity
Organization
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1285, ATLANTA, GA 30308-2247
(678) 293-6162
Mailing address
550 PEACHTREE ST NE, SUITE 1285, ATLANTA, GA 30308-2247
(678) 293-6162
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
058898
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058898
GA LICENSE
GA
Enumeration date
02/03/2009
Last updated
02/03/2009
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