Individual
ADENIYI CAXTON BABALOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 BOULEVARD NE STE 435, ATLANTA, GA 30312-4213
(404) 222-9914
Mailing address
107 WESTWARD DR UNIT 661112, MIAMI SPRINGS, FL 33266-0649
(305) 321-5578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80177
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101907124
—
PA
Enumeration date
06/04/2006
Last updated
06/29/2023
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