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Dr. Bola Sogade, MD
Specialist in Macon, Georgia
NPI 1558455113

Bola Sogade is a Specialist based in Macon, GA. Bola Sogade practices in Macon, GA and has the professional credentials of MD. The NPI Number for Bola Sogade is 1558455113 and holds a License No. 047875 (Georgia).

The current practice location address for Bola Sogade is 639 Hemlock Street, Macon, GA and can be reached out via phone at 478-745-3014 and via fax at 478-745-9887. You can also correspond with Bola Sogade through the mailing address at 639 HEMLOCK STREET, MACON, GA - 31201-6889 (mailing address contact number: 478-745-3014).

Location: 639 Hemlock Street, Macon, GA, 31201-6889
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558455113
Provider Name
Bola Sogade
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
639 Hemlock Street, Macon, GA, 31201-6889
Phone Number
478-745-3014
Fax Number
478-745-9887
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
836352013B 05 GA
322090 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
639 Hemlock Street
City
Macon
State
Georgia
Zip
31201-6889
Phone Number
478-745-3014
Fax Number
478-745-9887
person
Provider Business Mailing Address Details
Address
639 Hemlock Street
City
Macon
State
Georgia
Zip
31201-6889
Phone Number
478-745-3014
Fax Number
478-745-9887
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
047875 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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