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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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ADEWALE, SAMSON OLUWATOSIN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 4441 ATLANTA ROAD
SUITE 107
SMYRNA GA 30080

Address last updated on 7/3/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 33902
Dated: 7/1/2020
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: American Univ of Antigua, Coll of Med, Woods, Antigua & Barbuda
Graduated: 5 / 2017
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4441 ATLANTA ROAD
SUITE 107
SMYRNA GA 30080

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Fax #:
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17937 N. Pennsylvania Avenue Suite C
Edmond, OK 73012

Phone #: (405) 203-6626
Fax #: (10) 202-
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