Individual
KOLAWOLE J ADEYEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4729 POLLY PL, SNELLVILLE, GA 30039
(404) 944-1060
Mailing address
4729 POLLY PL, SNELLVILLE, GA 30039-7120
(404) 944-1060
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
067-R-1574
GA
Other
Enumeration date
05/14/2018
Last updated
05/15/2018
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