Omolara Kuteyi Md, Inc

NPI 1235343088 - Family Medicine - 207Q00000X

NPI Details
NPI 1235343088
Enumeration Date 05/10/2007
Last Updated 12/07/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name OMOLARA B OMOLARA
Position OWNER
Phone (404) 284-7744
Fax (404) 284-8006
Practice Location
3546 COVINGTON HWY
SUITE C
DECATUR GA, 30032-1823, US
Phone (404) 284-7744
Fax (404) 284-8006
Business Location
1262 EMMA JEAN PL SW
MARIETTA GA, 30064-3798, US
Phone (404) 284-7744
Fax (404) 284-7744
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 053776
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According to our database, Omolara Kuteyi Md, Inc NPI is 1235343088, taxonomy code is 207Q00000X and license number is 053776, license state is located at Georgia. Omolara Kuteyi Md, Inc physically located at 3546 Covington Hwy, Decatur GA, 30032-1823. NPI Number 1033115704 has the healthcare provider type.

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1235343088 NPI number is provided on an as is basis without warranty of any kind. 1235343088 is maintained by the National Plan & Provider Enumeration System. The contents of Omolara Kuteyi Md, Inc are for informational purposes only.