Organization
ALLWELL BEHAVIORAL
Active
Organization
ALLWELL BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABATUNDE FRANCIS FAGBAMIYE MD (PRESIDENT)
(478) 333-6711
Entity
Organization
Contact information
Practice address
501 OSIGIAN BLVD, STE A, WARNER ROBINS, GA 31088-8928
(478) 333-6711
(478) 333-6730
Mailing address
PO BOX 2144, WARNER ROBINS, GA 31099-2144
(478) 333-6711
(478) 333-6730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056058
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2328379
CIGNA
GA
01
—
312991812
UNITEDBEHAVIORAL
GA
01
—
600020201
MAGELLAN
GA
05
—
742988049B
—
GA
Enumeration date
03/24/2008
Last updated
05/20/2010
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