Adeduntan, Azeez Popoola
Adeduntan, Azeez Popoola is an sole proprietor health care provider with primary practice located at 435 Hawthorne Ave Suite 600, Athens GA 30606-2574. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Adeduntan, Azeez Popoola can be contacted via phone (706) 227-0871.Contact Information
Primary practice address
435 Hawthorne Ave Suite 600
Athens GA 30606-2574
Phone: (706) 227-0871
Fax: (706) 227-0865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 040293 | Georgia |
Profile Details
| NPI number | 1538138326 |
|---|---|
| LBN Legal business name | Adeduntan, Azeez Popoola |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Dec 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538138326 | NPPES |
| Georgia | MEDICAID | 00670381C |
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