NPI 1861760712 · live from the CMS NPI Registry
Akinola O Akintade, SURGICAL ASSISTANT
Physician Assistant, Surgical in Tucker, GA. National Provider Identifier 1861760712, active.
NPI record
| NPI | 1861760712 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 2167 Northlake Pkwy Ste 106, Tucker, GA 30084 |
| Practice phone | 770-492-8636 |
| Enumerated | December 7, 2011 |
| Last updated | December 7, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 04-143 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.