Provider Demographics
NPI:1386941854
Name:ALUKO, OLAYINKA O
Entity type:Individual
Prefix:MRS
First Name:OLAYINKA
Middle Name:O
Last Name:ALUKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:OLAYINKA
Other - Middle Name:O
Other - Last Name:ALUKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3153 ELMENDORF DR NW
Mailing Address - Street 2:3153 ELMENDORF DRIVE
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7424
Mailing Address - Country:US
Mailing Address - Phone:770-917-8624
Mailing Address - Fax:
Practice Address - Street 1:3153 ELMENDORF DR NW
Practice Address - Street 2:3153 ELMENDORF DRIVE
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7424
Practice Address - Country:US
Practice Address - Phone:770-917-8624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health