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EMMANUEL O SOYOOLA MD PC NPI 1336374313


NPI Information

NPI: 1336374313
Provider Name: EMMANUEL O SOYOOLA MD PC

Doing Business As: OLAN COMPREHENSIVE HEALTHCARE

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2169 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA
ZIP 30044
Phone: (770) 962-3700
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EMMANUEL O SOYOOLA MD PC is an obstetrics gynecology in Lawrenceville, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. EMMANUEL O SOYOOLA MD PC NPI is 1336374313. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Olan Comprehensive Healthcare.

The provider's business location address is:

2169 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA
ZIP 30044-710
Phone: (770) 962-3700
Fax: (770) 962-8063

The provider's authorized official is Emmanuel Soyoola .
The authorized official title is Physician/owner and has the following contact phone number (770) 962-3700.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 9/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine53032GEORGIANo
2208000000XPediatrics53032GEORGIANo
3207V00000XObstetrics & Gynecology53032GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
116BBCCPMEDICARE PINGEORGIA
2413053267AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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