Individual
DR. WASIU FEMI ADISA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-6911
Mailing address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-6911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67525
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
07/22/2007
Last updated
02/02/2017
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