Olufunke Fadoju, PA

Individual Active
NPI 1831250455
Medical Physician Assistant Carrollton, GA

NPI 1831250455 belongs to Olufunke Fadoju, PA, a medical physician assistant with a practice location in Carrollton, GA. The NPI was issued on December 13, 2006, and the record was last updated in NPPES on October 16, 2012. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2012. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 6359 (GA)
Physician Assistant 363A00000X 25MP00158100 (NJ)

Practice location

705 Dixie St
Carrollton, GA 30117-3818
Phone: (678) 301-0636

Local context

Active NPPES records list 30 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 6 of them within 10 miles.

The same primary taxonomy is listed by 1,323 in Georgia and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Olufunke E Fadoju
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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