Individual
ADEBOLA OGUNMODEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
516 WINTER VIEW WAY, STOCKBRIDGE, GA 30281-9115
(727) 744-4613
Mailing address
516 WINTER VIEW WAY, STOCKBRIDGE, GA 30281-9115
(727) 744-4613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME99323
FL
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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