Provider Demographics
NPI:1912936758
Name:TUGBIYELE, FOLUSHO STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:FOLUSHO
Middle Name:STEPHEN
Last Name:TUGBIYELE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:595 HURRICANE SHOALS RD NW STE 301
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-8761
Mailing Address - Country:US
Mailing Address - Phone:470-325-1280
Mailing Address - Fax:678-701-9857
Practice Address - Street 1:595 HURRICANE SHOALS RD NW STE 301
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8761
Practice Address - Country:US
Practice Address - Phone:470-325-1280
Practice Address - Fax:678-701-9857
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA81991207VF0040X, 207VF0040X
PAMD431813207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery