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DR. HAOLAT ABIOLA BABALAKIN MD
Child & Adolescent Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1245337708
Individual Registrant:DR. HAOLAT ABIOLA BABALAKIN MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
4720 PEACHTREE INDUSTRIAL BLVD SUITE 4101 NORCROSS, GA 30071-5735 US
Tel: 678-686-3233 Fax: --
Tel: 678-686-3233 Fax: --
Contact information for business:
5805 STATE BRIDGE RD SUITE G-106 JOHNS CREEK, GA 30097-8220 US
Tel: 770-686-3233 Fax: --
Tel: 770-686-3233 Fax: --
Registration Information:
NPI: 1245337708
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2084P0804X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Child & Adolescent Psychiatry | GA | 062467 |
| N | 2084P0800X | Allopathic & Osteopathic Physicians Psychiatry & Neurology | GA | 062467 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 003101460A | GA | 05 |
