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Omobolaji Oluseyi Oyebanjo Popoola, MD
Addiction Psychiatry Physician in Villa Rica, Georgia
NPI 1578754503

Omobolaji Oluseyi Oyebanjo Popoola is an Addiction Psychiatry Physician based in Villa Rica, GA and is specialized in Addiction Psychiatry. Omobolaji Oluseyi Oyebanjo Popoola practices in Villa Rica, GA and has the professional credentials of MD. The NPI Number for Omobolaji Oluseyi Oyebanjo Popoola is 1578754503 and holds a License No. 612567 (Georgia).

The current practice location address for Omobolaji Oluseyi Oyebanjo Popoola is 307 Old Stone Rd, Villa Rica, GA and can be reached out via phone at 770-459-8799 and via fax at 770-459-8919.

Location: 307 Old Stone Rd, Villa Rica, GA, 30180-1214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578754503
Provider Name
Omobolaji Oluseyi Oyebanjo Popoola
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
307 Old Stone Rd, Villa Rica, GA, 30180-1214
Phone Number
770-459-8799
Fax Number
770-459-8919
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
307 Old Stone Rd
City
Villa Rica
State
Georgia
Zip
30180-1214
Phone Number
770-459-8799
Fax Number
770-459-8919
person
Provider Business Mailing Address Details
Address
307 Old Stone Rd
City
Villa Rica
State
Georgia
Zip
30180-1214
Phone Number
770-459-8799
Fax Number
770-459-8919
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
053509 (Georgia)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Psychiatry
Taxonomy
2084P0802X
License No.
612567 (Georgia)
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
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