IndividualActive
Akinola Akintade, SURGICAL ASSISTANT
NPI 1861760712 · Surgical Physician Assistant · Tucker, GA
Provider details
- NPI number
- 1861760712
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- SURGICAL ASSISTANT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 04-143 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2167 Northlake Pkwy Ste 106
Tucker, GA 30084-4103
Phone: (770) 492-8636
Fax: (770) 492-8638
Approximate (ZIP-level) locationGet directions
Mailing address
2167 Northlake Pkwy Ste 106
Tucker, GA 30084-4103
Registry dates
- Enumerated
- 2011-12-07
- Last updated
- 2011-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.