Dawodu, Bashiru A

Dawodu, Bashiru A is an individual health care provider with primary practice located at 35 S Scott St , Camilla GA 31730-1705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dawodu, Bashiru A can be contacted via phone (229) 336-9769.

Contact Information

Primary practice address
35 S Scott St Camilla GA 31730-1705
Phone: (229) 336-9769
Fax: (229) 336-3867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 052162 Georgia

Profile Details

NPI number 1093733305
LBN Legal business name Dawodu, Bashiru A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 31st, 2016 - about 9 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 1093733305 NPPES
Georgia MEDICAID 00980526B

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