Provider Demographics
NPI:1649739707
Name:OLATUNJI, DAMILOLA (MD)
Entity Type:Individual
Prefix:
First Name:DAMILOLA
Middle Name:
Last Name:OLATUNJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DAMILOLA
Other - Middle Name:OLATUNJI
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2665 N DECATUR RD STE 630
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6147
Mailing Address - Country:US
Mailing Address - Phone:404-610-7392
Mailing Address - Fax:
Practice Address - Street 1:2665 N DECATUR RD STE 630
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6147
Practice Address - Country:US
Practice Address - Phone:404-778-3401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA95762207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology