Adeagbo, Bamidele Adekunle

Adeagbo, Bamidele Adekunle is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Adeagbo, Bamidele Adekunle can be contacted via phone (721) 724-3168.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 002331 Georgia

Profile Details

NPI number 1982801551
LBN Legal business name Adeagbo, Bamidele Adekunle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982801551 NPPES
Georgia Other RTP002331 TRAINING PERMIT

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