Individual
DR. KIRA ELIZABETH OLUGEBEFOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 HUDSON BRIDGE RD, STOCKBRIDGE, GA 30281-5020
(404) 785-8660
Mailing address
1510 HUDSON BRIDGE RD, STOCKBRIDGE, GA 30281-5020
(404) 785-8660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
257314
NY
208000000X
Pediatrics Physician
Primary
92145
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03240631
—
NY
Enumeration date
08/03/2006
Last updated
11/18/2022
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