Individual
DR. OLADIRAN ADEMOLA AFOLABI-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
682 HEMLOCK ST, #410, MACON, GA 31201-6883
(478) 745-7925
(478) 745-7885
Mailing address
PO BOX 4207, MACON, GA 31208-4207
(478) 745-7925
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
051902
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
319755
WELL CARE PROVIDER #
GA
01
—
52012975 002
BCBS PROVIDER #
GA
Enumeration date
12/07/2006
Last updated
03/27/2008
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