MEDICARE: AYOBAMI FATUNMBI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1720548696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYOBAMI FATUNMBI

Provider Business Mailing Address
First Line	:	5700 OGEECHEE RD UNIT 2302
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-9616
Country	:	US
Telephone Number	:	716-548-1042
Fax Number	:

Provider Business Practice Location Address
First Line	:	594 S COLUMBIA AVE
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-9094
Country	:	US
Telephone Number	:	912-826-4057
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	10/29/2025

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Directions to “ AYOBAMI FATUNMBI ” Practice Location

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