Individual
DR. SIMBO OLUWABUSUYI ADULOJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2712 LAWRENCEVILLE HWY, DECATUR, GA 30033-2512
(770) 496-5555
(770) 939-2887
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 496-5555
(770) 939-2887
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
056674
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I832053
MEDICARE PTAN
GA
05
—
601834418A-C
—
GA
05
—
601834418D
—
GA
Enumeration date
01/15/2008
Last updated
08/25/2020
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