Individual
DR. ADENIYI M. OBALANLEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-6000
(770) 219-6021
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21714
WV
208M00000X
Hospitalist Physician
Primary
061628
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000919
—
WV
Enumeration date
07/16/2006
Last updated
11/16/2020
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