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BOYEDE FRANKLIN ADEMODI M.D

Adult Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1043343387

Individual Registrant:
 BOYEDE FRANKLIN ADEMODI M.D
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2400 MOUNT ZION PKWY DEPARTMENT OF INTERNAL MEDICINE JONESBORO, GA 30236-2500 US
Tel: 770-603-3667  Fax: --

Contact information for business:
3495 PIEDMONT RD NE NINE PIEDMONT CENTER ATLANTA, GA 30305-1773 US
Tel: 404-364-7000  Fax: --

Registration Information:
NPI: 1043343387
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0505XAllopathic & Osteopathic Physicians
Family Medicine
Adult Medicine
GA58385

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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