Akinola O Akintade, SURGICAL ASSISTANT Valid NPI

Individual provider · Surgical Physician Assistant · Tucker, GA

NPI

1861760712

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

04-143 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-12-07

Last updated

2011-12-07