Fariyike, Babatunde Tenitayo

Fariyike, Babatunde Tenitayo is an individual health care provider with primary practice located at 612 W Gordon St Ste A , Thomaston GA 30286-3480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fariyike, Babatunde Tenitayo can be contacted via phone (706) 647-8065.

Contact Information

Primary practice address
612 W Gordon St Ste A Thomaston GA 30286-3480
Fax: (706) 647-8019
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 037532 Georgia

Profile Details

NPI number 1265436760
LBN Legal business name Fariyike, Babatunde Tenitayo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265436760 NPPES
Georgia Other 582084278 TAX ID
Georgia MEDICAID 00572008A TAX ID
Georgia MEDICAID 00572008B TAX ID

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