Provider Demographics
NPI:1922883529
Name:OLAIYA ONI, OLADOYIN
Entity Type:Individual
Prefix:
First Name:OLADOYIN
Middle Name:
Last Name:OLAIYA ONI
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 1:3250 SWEETWATER RD APT 2416
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-6533
Mailing Address - Country:US
Mailing Address - Phone:470-227-3512
Mailing Address - Fax:
Practice Address - Street 1:3250 SWEETWATER RD APT 2416
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-6533
Practice Address - Country:US
Practice Address - Phone:470-227-3512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty