Individual
DR. EMMANUEL O GBADEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FACP, FACG
Contact information
Practice address
619 S 8TH ST STE 304, GRIFFIN, GA 30224-4260
(470) 267-1680
(470) 986-7003
Mailing address
619 S 8TH ST STE 304, GRIFFIN, GA 30224-4260
(470) 267-1680
(470) 986-7003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
057808
GA
207RG0100X
Gastroenterology Physician
Primary
057808
GA
207RG0100X
Gastroenterology Physician
56278
KY
207RI0008X
Hepatology Physician
057808
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
747209086D
—
GA
05
—
747209086E
—
GA
Enumeration date
09/16/2006
Last updated
08/17/2022
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