Monisola Modupe Sanusi MD

NPI 1053799973 - Family Medicine - 207Q00000X

NPI Details
NPI 1053799973
Gender Female
Enumeration Date 05/12/2015
Last Updated 05/12/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2336 DAWSON RD
1100
ALBANY GA, 31707-2800, US
Phone (229) 312-8871
Fax
Business Location
2816 PARTRIDGE DR
B
ALBANY GA, 31721-6238, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 005496
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According to our database, Monisola Modupe Sanusi MD NPI is 1053799973, taxonomy code is 207Q00000X and license number is 005496, license state is located at Georgia. Monisola Modupe Sanusi MD physically located at 2336 Dawson Rd, Albany GA, 31707-2800. NPI Number Monisola Modupe Sanusi MD has the Individual type.

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1053799973 NPI number is provided on an as is basis without warranty of any kind. 1053799973 is maintained by the National Plan & Provider Enumeration System. The contents of Monisola Modupe Sanusi MD are for informational purposes only.