Gbadehan, Emmanuel O
Gbadehan, Emmanuel O is an sole proprietor health care provider with primary practice located at 619 S 8Th St Ste 304 , Griffin GA 30224-4260. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hepatology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Gbadehan, Emmanuel O can be contacted via phone (470) 267-1680.Contact Information
Primary practice address
619 S 8Th St Ste 304
Griffin GA 30224-4260
Phone: (470) 267-1680
Fax: (470) 986-7003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 057808 | Georgia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 56278 | Kentucky |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 057808 | Georgia |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 057808 | Georgia |
Profile Details
| NPI number | 1427154145 |
|---|---|
| LBN Legal business name | Gbadehan, Emmanuel O |
| Credentials | M.D., FACP, FACG |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Aug 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427154145 | NPPES |
| Georgia | MEDICAID | 747209086D | |
| Georgia | MEDICAID | 747209086E |
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