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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BOLAJI T ODUSINA, MD

Active Sole Proprietor

BOLAJI T ODUSINA, MD is a Pediatrics healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1306803762 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · LAWRENCEVILLE, GA

Registration Details

NPI Number
1306803762
Provider Type
Individual
Gender
Female
NPI Issued
Apr 28, 2006 (20.30541390747 yrs)
Last Updated
May 1, 2012
License
042380 (GA)
Sole Proprietor
Yes

Practice Information

Address
1155 LAWRENCEVILLE SUWANEE RD
LAWRENCEVILLE, GA, 300435425
Browse GA providers · Browse ZIP 30043
Phone
6784420205
Fax
6784420185
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in LAWRENCEVILLE, GA

Name Credential NPI
DR. JALAL ZUBERI MD 1952394298
YOLANDA OGLESBY JOHNSON MD 1215918388
DR. JILL J OVERCASH M.D. 1922088343
DR. JAY HOWARD POLOKOFF M.D. 1467415281
DR. EMMELEEN F PHAN MD 1790741593
CHARLOTTE W KHAN MD 1881651610
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.