Individual provider · Type 1 NPI

Olatokunbo Efunsami Soyode-Etomi, MD

Community/Behavioral Health Agency · Gastonia, NC

NPI number 1326132804 Active

Practice location

549 Cox Rd
Gastonia, NC 28054-0628

Call (704) 865-1558 Map

Fax (704) 865-9908

Mailing address

500 Archdale Dr
Charlotte, NC 28217-4217

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X9300327 (NC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1326132804

Olatokunbo Efunsami Soyode-Etomi, MD's National Provider Identifier is 1326132804, issued on Oct 2, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Gastonia, NC. The record was last updated on Oct 20, 2025.