Individual
DR. OLAKUNLE ADEGBILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SOUTHLAKE MALL, MORROW, GA 30260-2330
(770) 961-1968
(770) 961-9307
Mailing address
5741 NORMAN CT, ATLANTA, GA 30349-6974
(937) 304-7633
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002181
VA
Other
Enumeration date
11/21/2012
Last updated
09/12/2018
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