Teniola, Samuel O
Teniola, Samuel O is an individual health care provider with primary practice located at 285 Boulevard Ne Suite 435, Atlanta GA 30312-4205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Teniola, Samuel O can be contacted via phone (404) 524-8950.Contact Information
Primary practice address
285 Boulevard Ne Suite 435
Atlanta GA 30312-4205
Phone: (404) 524-8950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 049349 | Georgia |
Profile Details
| NPI number | 1518965938 |
|---|---|
| LBN Legal business name | Teniola, Samuel O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518965938 | NPPES |
| Georgia | MEDICAID | 000891514B |
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