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Oluwafunmilayo Makinde
Prosthetics Case Management in Suwanee, Georgia
NPI 1104544824

Oluwafunmilayo Makinde is a Prosthetics Case Management based in Dacula, GA and is specialized in Prosthetics Case Management. Oluwafunmilayo Makinde practices in Suwanee, GA. The NPI Number for Oluwafunmilayo Makinde is 1104544824 and holds a License No. (Georgia).

The current practice location address for Oluwafunmilayo Makinde is 4140 Moore Rd Ste B114, Suwanee, GA and can be reached out via phone at 678-866-1468.

Location: 4140 Moore Rd Ste B114, Suwanee, GA, 30019-1681
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104544824
Provider Name
Oluwafunmilayo Makinde
Credential
Provider Entity Type
Individual
Gender
Female
Address
4140 Moore Rd Ste B114, Suwanee, GA, 30019-1681
Phone Number
678-866-1468
Fax Number
Provider Enumeration Date
08/18/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
460548974 01 GA MED SPA
institution
Provider Business Practice Location Address Details
Address
4140 Moore Rd Ste B114
City
Suwanee
State
Georgia
Zip
30024-7157
Phone Number
678-866-1468
Fax Number
person
Provider Business Mailing Address Details
Address
4140 Moore Rd Ste B114
City
Suwanee
State
Georgia
Zip
30024-7157
Phone Number
678-866-1468
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
(Georgia)
Definition
Definition to come...
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