Individual provider · Type 1 NPI

Olufunke E. Fadoju, PA

Medical Physician Assistant · Carrollton, GA

NPI number 1831250455 Active

Practice location

705 Dixie St
Carrollton, GA 30117-3818

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X25MP00158100 (NJ)
Medical Physician Assistant Primary 363AM0700X6359 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1831250455

Olufunke E. Fadoju, PA's National Provider Identifier is 1831250455, issued on Dec 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Carrollton, GA. The record was last updated on Oct 16, 2012.