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DR. ADDISON X AGBEMADZO MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1295721975

Individual Registrant:
DR. ADDISON X AGBEMADZO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
417 W 3RD AVE  ALBANY, GA 31701-1943 US
Tel: 229-317-2207  Fax: 229-317-2214

Contact information for business:
PO BOX 408  ALBANY, GA 31702-0408 US
Tel: 205-437-6098  Fax: 205-437-5998

Registration Information:
NPI: 1295721975
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
GA050572

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
WELLCARE364802GA01
BCBS52702732-001GA01
BCBS52702732-004GA01




HEALTH CARE JOBS GA - Page 1



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