Individual
DR. ADEYEMI OLUMAYOWA GBOGBOADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE REAR 710, GAINESVILLE, GA 30501-3899
(770) 219-8730
Mailing address
743 SPRING ST NE REAR 710, GAINESVILLE, GA 30501-3899
(770) 219-8730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98241
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
12/11/2024
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