Provider Demographics
NPI:1861938979
Name:AKINWUMIJU, FLORENCE (ND)
Entity type:Individual
Prefix:DR
First Name:FLORENCE
Middle Name:
Last Name:AKINWUMIJU
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:AKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:4426 AUSTELL RD
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1844
Mailing Address - Country:US
Mailing Address - Phone:770-485-3805
Mailing Address - Fax:770-485-3805
Practice Address - Street 1:9427 GRACE LAKE DR
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-1758
Practice Address - Country:US
Practice Address - Phone:678-758-3756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath