Iyamu, Kingsley E
Iyamu, Kingsley E is an individual health care provider with primary practice located at 1850 Lake Park Dr Se 218, Smyrna GA 30080-7647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Iyamu, Kingsley E can be contacted via phone (404) 213-8526.Contact Information
Primary practice address
1850 Lake Park Dr Se 218
Smyrna GA 30080-7647
Phone: (404) 213-8526
Fax: (770) 438-1125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 044493 | Georgia |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 044493 | Georgia |
Profile Details
| NPI number | 1275615171 |
|---|---|
| LBN Legal business name | Iyamu, Kingsley E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 19th, 2011 - about 14 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 | 1275615171 | NPPES |
| Georgia | MEDICAID | 000899808B |
Popular Providers
-
Shroff, Munjal
1314 Concord Rd Se , Smyrna GA 30080-4361 -
Giorgadze, Andro
4015 S Cobb Dr Se Suite 120, Smyrna GA 30080-6303 -
Morgan, Theodore
3200 Highlands Pkwy Se Suite 400, Smyrna GA 30082-5166 -
Thorneloe, William Frank
4015 S Cobb Dr Se Ste 270 , Smyrna GA 30080-6375 -
Jackson, Ronald L
5400 S Cobb Dr Se , Smyrna GA 30080-7421 -
Patel, Bharatkumar C
4015 S Cobb Dr Se Ste 110 , Smyrna GA 30080-6316 -
Attalla, Ashraf
696 Concord Rd Se , Smyrna GA 30082-2629 -
Nkwocha, Dominic Emeka
4015 S Cobb Dr Se Suite 110B, Smyrna GA 30080-6303