Adefisan, Olujimi Ayodele
Adefisan, Olujimi Ayodele is an individual health care provider with primary practice located at 2150 Peachford Rd Ste A , Atlanta GA 30338-6521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Adefisan, Olujimi Ayodele can be contacted via phone (770) 674-0553.Contact Information
Primary practice address
2150 Peachford Rd Ste A
Atlanta GA 30338-6521
Phone: (770) 674-0553
Fax: (770) 674-0554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MT 185915 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 063623 | Georgia |
Profile Details
| NPI number | 1790947216 |
|---|---|
| LBN Legal business name | Adefisan, Olujimi Ayodele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Aug 23rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790947216 | NPPES |
| Georgia | MEDICAID | 003121311H | |
| Georgia | MEDICAID | 003121311A |
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