Kuteyi, Omolara B

Kuteyi, Omolara B is an individual health care provider with primary practice located at 3546 Covington Hwy Ste C, Decatur GA 30032-1823. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kuteyi, Omolara B can be contacted via phone (404) 284-7744.

Contact Information

Primary practice address
3546 Covington Hwy Ste C Decatur GA 30032-1823
Phone: (404) 284-7744
Fax: (404) 284-8006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 053776 Georgia

Profile Details

NPI number 1780648568
LBN Legal business name Kuteyi, Omolara B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Dec 7th, 2011 - about 13 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 1780648568 NPPES
Georgia Other 053776 PHYSICIAN LICENSE
Georgia Other 10040207 PHYSICIAN LICENSE
Georgia Other 200819 PHYSICIAN LICENSE
Georgia Other 774394819B PHYSICIAN LICENSE
Georgia Other P00183443 PHYSICIAN LICENSE
Georgia MEDICAID 774394819C PHYSICIAN LICENSE
Georgia MEDICAID 774394819D PHYSICIAN LICENSE
Georgia Other 319682 PHYSICIAN LICENSE

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