Individual
DR. ADEMOLA SHOFOLUWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3211 IRIS DR, COVINGTON, GA 30016-0907
(770) 787-4042
(770) 922-7499
Mailing address
3211 IRIS DR, COVINGTON, GA 30016-0907
(770) 787-4042
(770) 922-7499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
96429
GA
390200000X
Student in an Organized Health Care Education/Training Program
T7041
TX
Other
Enumeration date
05/11/2017
Last updated
07/28/2023
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