Odusina, Bolaji T

Odusina, Bolaji T is an sole proprietor health care provider with primary practice located at 1155 Lawrenceville Suwanee Rd , Lawrenceville GA 30043-5425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Odusina, Bolaji T can be contacted via phone (678) 442-0205.

Contact Information

Primary practice address
1155 Lawrenceville Suwanee Rd Lawrenceville GA 30043-5425
Phone: (678) 442-0205
Fax: (678) 442-0185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042380 Georgia

Profile Details

NPI number 1306803762
LBN Legal business name Odusina, Bolaji T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated May 1st, 2012 - about 14 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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