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Individual

DR. JUSTIN A ADEYEMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
231 W HANCOCK ST, MILLEDGEVILLE, GA 31061-3371
(678) 485-9575
Mailing address
310 OLD OAK RD, MACON, GA 31216-5695
(678) 485-9575

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/04/2019
Last updated
09/04/2019
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