Provider Demographics
NPI:1164598264
Name:COLE, OLUWASEUN TITILAYO (MD)
Entity Type:Individual
Prefix:DR
First Name:OLUWASEUN
Middle Name:TITILAYO
Last Name:COLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:OLUWASEUN
Other - Middle Name:TITILAYO
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:775 POPLAR ROAD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265
Mailing Address - Country:US
Mailing Address - Phone:770-400-4523
Mailing Address - Fax:
Practice Address - Street 1:775 POPLAR RD STE 120
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-8301
Practice Address - Country:US
Practice Address - Phone:770-400-4523
Practice Address - Fax:678-423-2737
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA64199207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology