Individual
DR. ABAYOMI G OSHINOWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W GORDON ST, THOMASTON, GA 30286-3426
(706) 647-8111
(706) 647-7713
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
43447
GA
207Q00000X
Family Medicine Physician
20466
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51094486
BCBS AL
AL
05
—
529904460
—
AL
Enumeration date
07/20/2005
Last updated
01/15/2019
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