Organization
OMNI CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADETOKUNBO LADIPO MD (MEDICAL DIRECTOR)
(256) 236-3031
Entity
Organization
Contact information
Practice address
1306 LEIGHTON AVE, ANNISTON, AL 36207-4614
(256) 236-3031
Mailing address
1306 LEIGHTON AVE, ANNISTON, AL 36207-4614
(256) 236-3031
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417055179
ABAYOMI SANUSI MD- NPI NU
AL
01
—
1417168485
OMNI CLINIC -GROUP NPI NU
AL
01
—
1972601607
ADETOKUNBO LADIPO MD- NPI
AL
Enumeration date
05/24/2007
Last updated
07/24/2007
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