Individual
OLUJIMI AYODELE ADEFISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2150 PEACHFORD RD STE A, ATLANTA, GA 30338-6521
(770) 674-0553
(770) 674-0554
Mailing address
2150 PEACHFORD RD STE A, ATLANTA, GA 30338-6521
(770) 674-0553
(770) 674-0554
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
063623
GA
2084P0804X
Child & Adolescent Psychiatry Physician
MT 185915
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003121311A
—
GA
05
—
003121311H
—
GA
Enumeration date
06/26/2008
Last updated
08/23/2023
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