Akinmade, Omotayo Omolola
Akinmade, Omotayo Omolola is an individual health care provider with primary practice located at 150 Eagle Spring Ct Suite A, Stockbridge GA 30281-6330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Akinmade, Omotayo Omolola can be contacted via phone (678) 289-7700.Contact Information
Primary practice address
150 Eagle Spring Ct Suite A
Stockbridge GA 30281-6330
Phone: (678) 289-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13939 | New Hampshire |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 71204 | Georgia |
Profile Details
| NPI number | 1467629964 |
|---|---|
| LBN Legal business name | Akinmade, Omotayo Omolola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2008 |
| Last updated | Sep 29th, 2014 - about 11 years ago |
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 | 1467629964 | NPPES |
| New Hampshire | MEDICAID | 30207918 |
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