Omole, Folashade

Omole, Folashade is an individual health care provider with primary practice located at 1513 Cleveland Ave Bldg 500, East Point GA 30344-6947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Omole, Folashade can be contacted via phone (404) 756-1205.

Contact Information

Primary practice address
1513 Cleveland Ave Bldg 500 East Point GA 30344-6947
Phone: (404) 756-1205
Fax: (404) 756-1229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 049074 Georgia

Profile Details

NPI number 1841290707
LBN Legal business name Omole, Folashade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated May 10th, 2019 - about 5 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 1841290707 NPPES
Georgia MEDICAID 000877599

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