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Individual

DR. ADEBOLA ADEKUNLE ADEOGUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 CHARTER BLVD, MACON, GA 31210-4831
(770) 994-9326
(770) 994-4747
Mailing address
1745 PHOENIX BLVD, SUITE 100, ATLANTA, GA 30349-5591
(770) 994-9326
(770) 994-4747

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042517
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
042517
GA

Other

Enumeration date
05/16/2006
Last updated
09/25/2023
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