Individual
MR. BASHIRU A DAWODU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 S SCOTT ST, CAMILLA, GA 31730-1705
(229) 336-9769
(229) 336-3867
Mailing address
35 S SCOTT ST, CAMILLA, GA 31730-1705
(229) 336-9769
(229) 336-3867
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
052162
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00980526B
—
GA
Enumeration date
07/17/2006
Last updated
08/31/2016
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