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Individual

DR. JULIUS KOLAWOLE ADEBISI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 S MAIN ST, SUITE C7, ALPHARETTA, GA 30009-1974
(678) 319-9901
(678) 319-9902
Mailing address
401 S MAIN ST, SUITE C7, ALPHARETTA, GA 30009-1974
(678) 319-9901
(678) 319-9902

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
058939
GA
261QP2300X
Primary Care Clinic/Center
Primary
058939
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390122159B
GA
Enumeration date
06/03/2006
Last updated
08/18/2022
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