Provider Demographics
NPI:1346097896
Name:AJAYI, ABISOLA SHARON (MD)
Entity type:Individual
Prefix:DR
First Name:ABISOLA
Middle Name:SHARON
Last Name:AJAYI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 WESTVIEW DR, SW, ATLANTA
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310
Mailing Address - Country:US
Mailing Address - Phone:404-756-1383
Mailing Address - Fax:404-756-1313
Practice Address - Street 1:720 WESTVIEW DR, SW, ATLANTA
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310
Practice Address - Country:US
Practice Address - Phone:404-756-1383
Practice Address - Fax:404-756-1313
Is Sole Proprietor?:No
Enumeration Date:2024-05-02
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program