Provider Demographics
NPI:1093416901
Name:AKINYELE, TEMILOLA
Entity Type:Individual
Prefix:
First Name:TEMILOLA
Middle Name:
Last Name:AKINYELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 MACEDONIA RD
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-2117
Mailing Address - Country:US
Mailing Address - Phone:678-793-0633
Mailing Address - Fax:
Practice Address - Street 1:3416 MACEDONIA RD
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-2117
Practice Address - Country:US
Practice Address - Phone:678-793-0633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA318211163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical