Provider Demographics
NPI:1164127296
Name:AKINDAIRO, MARGARET O
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:O
Last Name:AKINDAIRO
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 1:3335 BRIDLE BROOK DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30011-2380
Mailing Address - Country:US
Mailing Address - Phone:678-670-3384
Mailing Address - Fax:
Practice Address - Street 1:3335 BRIDLE BROOK DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:GA
Practice Address - Zip Code:30011-2380
Practice Address - Country:US
Practice Address - Phone:678-670-3384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty