Individual
DR. JIBIKE JOY ADEGBILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7196 N LAKE DR, SUITE B, COLUMBUS, GA 31909-1693
(706) 256-3500
(706) 256-3505
Mailing address
7196 N LAKE DR, SUITE B, COLUMBUS, GA 31909-1693
(706) 256-3500
(706) 256-3505
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
048967
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876037E
—
GA
Enumeration date
05/23/2006
Last updated
09/30/2010
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