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Individual

DR. MICHAEL O OYERINDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2759 MOUNT ZION PKWY, SUITE A/B, JONESBORO, GA 30236-2568
(678) 262-8441
(770) 471-8441
Mailing address
2759 MOUNT ZION PKWY, SUITE A/B, JONESBORO, GA 30236-2568
(678) 262-8441
(770) 471-8441

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
031-039
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
031-039
STATE LICENSE
GA
Enumeration date
03/26/2009
Last updated
03/26/2009
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