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Individual

OLUSOLA JUSTIN AYANKOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
355 TOWER RD NE STE 203, MARIETTA, GA 30060-9413
(470) 267-1580
(470) 267-1589
Mailing address
355 TOWER RD NE STE 203, MARIETTA, GA 30060-9413
(470) 267-1580
(470) 267-1589

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
63712
CT
2084P0800X
Psychiatry Physician
Primary
90520
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2017
Last updated
12/14/2023
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