Organization
MERCY INTERNAL MEDICINE ASSOCIATED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUFUNSO A OJO M.D (PHYSICIAN)
(770) 484-3095
Entity
Organization
Contact information
Practice address
8225 MALL PKWY STE 240, LITHONIA, GA 30038-6995
(770) 484-3092
(770) 484-3096
Mailing address
8225 MALL PKWY STE 240, LITHONIA, GA 30038-6995
(770) 484-3092
(770) 484-3096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054004
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316991748
NPI FOR DR OJO
GA
Enumeration date
01/16/2007
Last updated
12/17/2012
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