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DR. OLALEKAN HENRY AJIBOWO MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1235320151

Individual Registrant:
DR. OLALEKAN HENRY AJIBOWO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
413 POTTERY FACTORY DR  COMMERCE, GA 30529-6682 US
Tel: 706-423-9449  Fax: 706-423-9443

Contact information for business:
413 POTTERY FACTORY DR  COMMERCE, GA 30529-6682 US
Tel: 706-423-9449  Fax: --

Registration Information:
NPI: 1235320151
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
GA059896
N208VP0014XAllopathic & Osteopathic Physicians
Pain Medicine
GA059896
N208VP0000XAllopathic & Osteopathic Physicians
Pain Medicine
GA059896
N2081P2900XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
GA059896

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
029471605KGA05
012327700FL05
029471605JGA05
029471605EGA05
029471605IGA05
029471605CGA05
029471605LGA05
029471605MGA05




HEALTH CARE JOBS GA - Page 1



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