DR. Olanrewaju Olusola Fasusi, M.D.

NPI #1740576784 in Augusta, Georgia

Provider Information

NPI Number: 1740576784
Entity Type: Individual
Name: DR. Olanrewaju Olusola Fasusi, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Jun 28, 2011
Last Updated: Jun 28, 2011

Practice Location

Address: 1120 15TH ST
City: Augusta
State: Georgia
ZIP Code: 30912-0004
Phone: (706) 721-2503

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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