Provider Demographics
NPI:1295908002
Name:AKINTOBI, FOLORUNSO O (MD FICS)
Entity type:Individual
Prefix:DR
First Name:FOLORUNSO
Middle Name:O
Last Name:AKINTOBI
Suffix:
Gender:M
Credentials:MD FICS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9495 RIVERCLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2410
Mailing Address - Country:US
Mailing Address - Phone:770-910-4740
Mailing Address - Fax:
Practice Address - Street 1:9495 RIVERCLUB PKWY
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-2410
Practice Address - Country:US
Practice Address - Phone:770-910-4740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-12
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036640207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery