Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Akinola O Akintade, SURGICALASSISTANT

Individual provider Surgical Physician Assistant · NPI 1861760712

Akinola O Akintade, SURGICALASSISTANT is a Surgical Physician Assistant in Tucker, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2011
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Practice location Address checks out

2167 Northlake Pkwy Ste 106
Tucker, GA 30084-4103
Phone: (770) 492-8636
Fax: (770) 492-8638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 04-143 (GA)

Record details

NPI number1861760712
Entity typeIndividual (Type 1)
GenderMale
Credentials SURGICALASSISTANT
Sole proprietorYes
NPI enumeratedDecember 7, 2011
Last updated in NPPESDecember 7, 2011

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