Search › Georgia › 332B00000X
Charles Odusanya
NPI 1134872617 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1710 Versailles Dr Sw
Atlanta, GA 30331 - Phone
- (404) 453-4099
- Organisation at this address
- Tyc Logix Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Sex
- Male
- Record last updated
- 2022-02-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia