Fadoju, Olufunke E

Fadoju, Olufunke E is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fadoju, Olufunke E can be contacted via phone (678) 301-0636.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (678) 301-0636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00158100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6359 Georgia

Profile Details

NPI number 1831250455
LBN Legal business name Fadoju, Olufunke E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Oct 16th, 2012 - about 12 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.

Request for update

Popular Providers