AKINOLA O AKINTADE SURGICAL ASSISTANT NPI 1861760712

NPI Information

NPI: 1861760712
Provider Name: AKINOLA O AKINTADE, SURGICAL ASSISTANT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2167 NORTHLAKE PKWY STE 106
TUCKER, GA
ZIP 30084
Phone: (770) 492-8636
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Akinola O Akintade, SURGICAL ASSISTANT is a surgical physician assistant in Tucker, GA. Akinola O Akintade, SURGICAL ASSISTANT NPI is 1861760712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2167 NORTHLAKE PKWY STE 106
TUCKER, GA
ZIP 30084-103
Phone: (770) 492-8636
Fax: (770) 492-8638

The enumeration date for this NPI number is 12/7/2011 and was last updated on 12/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	04-143	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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