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Individual

OLUGBENGA A AWE

Active
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Individual

OLUGBENGA A AWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048329
GA
207R00000X
Internal Medicine Physician
35073659A
OH
207R00000X
Internal Medicine Physician
48329
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11SCGCS
MEDICARE PTAN
GA
05
2031607
OH
05
694476929A
GA
Enumeration date
09/14/2005
Last updated
11/14/2018
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