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Individual

TIMILEHIN O WUSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
771 OLD NORCROSS RD STE 105, LAWRENCEVILLE, GA 30046-4977
(855) 647-7678
(404) 847-4232
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2942

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
84194
GA
207X00000X
Orthopaedic Surgery Physician
L-255376
MA

Other

Enumeration date
06/12/2013
Last updated
02/26/2021
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