Ologunja, Kola

Ologunja, Kola is an individual health care provider with primary practice located at 3104 Creekside Village Dr Nw Suite 504, Kennesaw GA 30144-2358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ologunja, Kola can be contacted via phone (770) 966-0778.

Contact Information

Primary practice address
3104 Creekside Village Dr Nw Suite 504 Kennesaw GA 30144-2358
Phone: (770) 966-0778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 050548 Georgia

Profile Details

NPI number 1649270158
LBN Legal business name Ologunja, Kola
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated May 19th, 2008 - about 16 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 1649270158 NPPES
Georgia MEDICAID 000972408G
Georgia Other 855356

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