Individual
DR. KINGSLEY E AGBEYEGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1151 CLEVELAND AVE, SUITE C, EAST POINT, GA 30344-3600
(404) 305-0004
(404) 305-0494
Mailing address
1151 CLEVELAND AVE, SUITE C, EAST POINT, GA 30344-3600
(404) 305-0004
(404) 305-0494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047562
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000848262D
—
GA
Enumeration date
04/13/2006
Last updated
03/18/2008
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