Boyede F Ademodi, MD
Family Medicine, Adult Medicine in Jonesboro, Georgia
1043343387- Practice location
- 2400 Mount Zion Pkwy, Department Of Internal Medicine, Jonesboro, GA 30236-2500
- Phone
- 770-603-3667
- Fax
- —
- Last updated
- July 8, 2007
Boyede F Ademodi, MD is a Family Medicine, Adult Medicine based in Jonesboro, GA. Boyede F Ademodi, MD holds the professional credentials of MD. The NPI number for Boyede F Ademodi, MD is 1043343387 and holds license No. 58385 (GA). The current practice location address is 2400 Mount Zion Pkwy, Department Of Internal Medicine, Jonesboro, GA 30236-2500 and the office can be reached by phone at 770-603-3667. The NPI was assigned on March 14, 2007 and the record was last updated in NPPES on July 8, 2007.
●Provider Profile Details
- NPI Number
- 1043343387
- Provider Name
- Boyede Franklin Ademodi
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Family Medicine, Adult Medicine · 207QA0505X
- Sole Proprietor
- No
- Enumeration Date
- March 14, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2400 Mount Zion Pkwy
Department Of Internal Medicine
Jonesboro, GA 30236-2500 - City
- Jonesboro
- State
- Georgia
- ZIP
- 30236-2500
- Country
- US
- Phone Number
- 770-603-3667
✉Business Mailing Address
- Address
- 3495 Piedmont RD NE
Nine Piedmont Center
Atlanta, GA 30305-1773 - City
- Atlanta
- State
- GA
- ZIP
- 30305-1773
- Phone Number
- 404-364-7000
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine, Adult Medicine | 207QA0505X | Yes | 58385 | GA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Jonesboro →?Frequently Asked Questions
What is the NPI number of Boyede F Ademodi, MD?
The NPI number of Boyede F Ademodi, MD is 1043343387. It was assigned on March 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Boyede F Ademodi, MD?
Boyede F Ademodi, MD is registered under the primary taxonomy Family Medicine, Adult Medicine (code 207QA0505X) and holds license No. 58385 (GA).
Where does Boyede F Ademodi, MD practice?
The practice location is 2400 Mount Zion Pkwy, Department Of Internal Medicine, Jonesboro, GA 30236-2500. The office can be reached at 770-603-3667 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043343387 directly on the NPPES registry website at npiregistry.cms.hhs.gov.