Individual
DR. AJIBOLA ABIDEMI BABATUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6380 BELLS FERRY RD STE 107, ACWORTH, GA 30102-5435
(678) 702-4488
(678) 285-5598
Mailing address
6380 BELLS FERRY RD STE 107, ACWORTH, GA 30102-5435
(678) 702-4488
(678) 285-5598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14722A
WY
207Q00000X
Family Medicine Physician
91068
GA
207QA0401X
Addiction Medicine (Family Medicine) Physician
25MA11151100
NJ
207QA0401X
Addiction Medicine (Family Medicine) Physician
91068
GA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
91068
GA
Other
Enumeration date
03/28/2018
Last updated
01/15/2025
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