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DR. OLADIRAN ADEMOLA AFOLABI-BROWN M.D.

>> Plastic Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1881753606

Individual Registrant:
DR. OLADIRAN ADEMOLA AFOLABI-BROWN M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
682 HEMLOCK ST #410 MACON, GA 31201-6883 US
Tel: 478-745-7925  Fax: 478-745-7885

Contact information for business:
PO BOX 4207  MACON, GA 31208-4207 US
Tel: 478-745-7925  Fax: --

Registration Information:
NPI: 1881753606
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208200000XAllopathic & Osteopathic Physicians
Plastic Surgery
GA051902

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
WELL CARE PROVIDER #319755GA01
BCBS PROVIDER #52012975 002GA01




HEALTH CARE JOBS GA - Page 1



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