Oluwaseun Richard Olusanya

NPI #1184202434 in Macon, Georgia

Provider Information

NPI Number: 1184202434
Entity Type: Individual
Name: Oluwaseun Richard Olusanya
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Enumeration Date: Mar 30, 2021
Last Updated: Aug 17, 2021

Practice Location

Address: 777 HEMLOCK ST # 140
City: Macon
State: Georgia
ZIP Code: 31201-2102
Phone: (478) 633-1851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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