Individual
DR. OLUMUYIWA OLUKAYODE ADEBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MEDICAL DR, LAGRANGE, GA 30240-4157
(706) 803-7106
(770) 999-2424
Mailing address
111 MEDICAL DR, LAGRANGE, GA 30240-4157
(706) 803-7106
(770) 999-2424
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35726
OK
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
63072
WI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
91178
GA
Other
Enumeration date
12/17/2007
Last updated
07/08/2024
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