Individual
DR. JAIYEOLA ADELEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
785 OHIO AVE STE 3G, CLARKSDALE, MS 38614-6215
(662) 624-5026
(662) 624-5028
Mailing address
785 OHIO AVE STE 3G, CLARKSDALE, MS 38614-6215
(662) 624-5026
(662) 624-5028
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18718
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00253023
—
MS
Enumeration date
06/13/2006
Last updated
08/11/2020
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