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DR. ABDUL-FAISAL OLATUNDE AKESODE M.D

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1376799338

Individual Registrant:
DR. ABDUL-FAISAL OLATUNDE AKESODE M.D
Gender: M
Not Sole Proprietor

Location and contact information for practice:
777 HEMLOCK STREET MSC 117 MACON, GA 31201 US
Tel: 478-633-7550  Fax: 478-633-3235

Contact information for business:
5410 MARYLAND WAY SUITE 300 BRENTWOOD, TN 37027-5064 US
Tel: 615-377-5667  Fax: 888-241-1404

Registration Information:
NPI: 1376799338
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
GA061548
Y208M00000XAllopathic & Osteopathic Physicians
Hospitalist
GA61548

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
585483063AGA05




HEALTH CARE JOBS GA - Page 1



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