Individual
DR. MODELE O. OGUNNIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-4440
(404) 616-4400
Mailing address
49 JESSE HILL JR DR, EMORY UNIV SOM, DIV OF CARDIOLOGY, ATLANTA, GA 30303
(404) 616-4440
(404) 616-4400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
059841
GA
207RC0000X
Cardiovascular Disease Physician
Primary
059841
GA
Other
Enumeration date
01/04/2007
Last updated
05/31/2018
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