Andre, Tinuola Omoniyi
Andre, Tinuola Omoniyi is an individual health care provider with primary practice located at 1270 Prince Ave Suite 201, Athens GA 30606. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Andre, Tinuola Omoniyi can be contacted via phone (706) 475-7055.Contact Information
Primary practice address
1270 Prince Ave Suite 201
Athens GA 30606
Phone: (706) 475-7055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 95863 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 95863 | Georgia |
Profile Details
| NPI number | 1083238448 |
|---|---|
| LBN Legal business name | Andre, Tinuola Omoniyi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2020 |
| Last updated | Jun 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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