Ajayi, Phillip O
Ajayi, Phillip O is an sole proprietor health care provider with primary practice located at 455 S Main St Ste 101 , Hinesville GA 31313-4354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ajayi, Phillip O can be contacted via phone (912) 876-6868.Contact Information
Primary practice address
455 S Main St Ste 101
Hinesville GA 31313-4354
Phone: (912) 876-6868
Fax: (912) 876-6566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 49871 | Georgia |
Profile Details
| NPI number | 1366769622 |
|---|---|
| LBN Legal business name | Ajayi, Phillip O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2010 |
| Last updated | May 25th, 2021 - about 3 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 | 1366769622 | NPPES |
| Georgia | MEDICAID | 300039155A |
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