Greene, Onaje Dadisi

Greene, Onaje Dadisi is an individual health care provider with primary practice located at 705 Dixie St Suite 401, Carrollton GA 30117-3818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Greene, Onaje Dadisi can be contacted via phone (770) 836-9326.

Contact Information

Primary practice address
705 Dixie St Suite 401 Carrollton GA 30117-3818
Phone: (770) 836-9326
Fax: (770) 836-9358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 057079 Georgia

Profile Details

NPI number 1366484560
LBN Legal business name Greene, Onaje Dadisi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 28th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366484560 NPPES
Georgia MEDICAID 346632641G
Georgia Other 511I060280

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