Individual
DR. ADETOKUNBO OLUSOLA LADIPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1306 LEIGHTON AVE., ANNISTON, AL 36207
(256) 236-3031
(256) 236-3202
Mailing address
P.O. BOX 1541, ANNISTON, AL 36202
(256) 236-3031
(256) 236-3202
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23571
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938730
—
AL
05
—
051517112
—
AL
05
—
109509
—
AL
01
—
1326259300
OMNI CLINIC OF SLYACAUGA
AL
01
—
1417168485
OMNI CLINIC GROUP NPI
AL
Enumeration date
09/20/2006
Last updated
08/26/2009
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