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Contact Information

MOBOLAJI SHALOM OYEBANJO, INC
307 OLD STONE RD
VILLA RICA, GA30180-1214
 Phone: 770-459-8799
 Fax: 770-459-8919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for MOBOLAJI SHALOM OYEBANJO INC · (Female)

NPI # 1922280684
Status Active
Credentials
Entity Individual
Enumeration date 12/04/2007
Last updated 10/03/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 327161185A
  • GA Medicaid 327161185B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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