Adewunmi, Adeshola Kazeem
Adewunmi, Adeshola Kazeem is an individual health care provider with primary practice located at 677 Church St Ne Box 111, Marietta GA 30060-1101. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Adewunmi, Adeshola Kazeem can be contacted via phone (770) 793-7750.Contact Information
Primary practice address
677 Church St Ne Box 111
Marietta GA 30060-1101
Phone: (770) 793-7750
Fax: (770) 793-7755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 064735 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 064735 | Georgia |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 303015 | Louisiana |
Profile Details
| NPI number | 1285819821 |
|---|---|
| LBN Legal business name | Adewunmi, Adeshola Kazeem |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2008 |
| Last updated | Jan 28th, 2020 - about 4 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 | 1285819821 | NPPES |
| Georgia | MEDICAID | 363346743B | |
| Georgia | MEDICAID | 363346743A |
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