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Individual

ISMAILU O AGBAJE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD MD

Contact information

Practice address
2101 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265-2406
(812) 272-4497
(419) 828-8218
Mailing address
PO BOX 73200, NEWNAN, GA 30271-3200
(812) 272-4497
(419) 828-8218

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
72872
GA

Other

Enumeration date
05/12/2006
Last updated
10/08/2020
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