Individual
ADEBAYO AWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-6111
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-6111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T1288
TX
Other
Enumeration date
04/17/2014
Last updated
05/03/2022
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