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DR. ADESHOLA KAZEEM ADEWUNMI MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1285819821

Individual Registrant:
DR. ADESHOLA KAZEEM ADEWUNMI MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
677 CHURCH ST NE BOX 111 MARIETTA, GA 30060-1101 US
Tel: 770-793-7750  Fax: 770-793-7755

Contact information for business:
677 CHURCH ST NE BOX 111 MARIETTA, GA 30060-1101 US
Tel: 770-793-7750  Fax: 770-793-7755

Registration Information:
NPI: 1285819821
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
GA064735
Y208M00000XAllopathic & Osteopathic Physicians
Hospitalist
GA064735

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
363346743BGA05
363346743AGA05




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