Individual
OBAYODE AYEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 MEDICAL ARTS CTR, SAVANNAH, GA 31405-4414
(912) 352-9001
(912) 352-9091
Mailing address
15 MEDICAL ARTS CTR, SAVANNAH, GA 31405-4414
(912) 352-9001
(912) 352-9091
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
055657
GA
207Q00000X
Family Medicine Physician
Primary
55657
GA
2083P0901X
Public Health & General Preventive Medicine Physician
55657
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08BBSFF
GA MEDICARE
GA
01
—
52703694-006
BLUECROSS BLUESHIELD
GA
Enumeration date
01/04/2006
Last updated
12/01/2011
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