Organization
MOBOLAJI BABATOPE BAKARE MD PC
Active
Organization
MOBOLAJI BABATOPE BAKARE MD PC
Active
Other names
Gate City Primary Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOBOLAJI B. BAKARE MD (OWNER)
(336) 558-4665
Entity
Organization
Contact information
Practice address
3411 W WENDOVER AVE STE D, GREENSBORO, NC 27407-1526
(336) 558-4665
Mailing address
PO BOX 39175, GREENSBORO, NC 27438-9175
(336) 558-4665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-01273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902086
—
NC
Enumeration date
06/13/2017
Last updated
07/31/2017
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