Otusanya, Olufisayo Tayo

Otusanya, Olufisayo Tayo is an individual health care provider with primary practice located at 135 N Park Pl Ste 200 , Stockbridge GA 30281-7209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Otusanya, Olufisayo Tayo can be contacted via phone (678) 289-7960.

Contact Information

Primary practice address
135 N Park Pl Ste 200 Stockbridge GA 30281-7209
Phone: (678) 289-7960
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 305582 Louisiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 84957 Georgia

Profile Details

NPI number 1336552785
LBN Legal business name Otusanya, Olufisayo Tayo
Credentials M.B.CH.B
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2014
Last updated Jul 22nd, 2020 - 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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