Organization
BAYBOL PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBAYO KOLAWOLE AKINSOLA M.D. (OWNER)
(770) 733-1077
Entity
Organization
Contact information
Practice address
9 DUNWOODY PARK STE 126, ATLANTA, GA 30338-6712
(770) 733-1077
(770) 234-6898
Mailing address
9 DUNWOODY PARK STE 126, ATLANTA, GA 30338-6712
(770) 733-1077
(770) 234-6898
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67381
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67381
STATE LICENCE
GA
Enumeration date
08/19/2015
Last updated
08/19/2015
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