Active NPIIndividual provider

Dr. Adebola A Adeogun, MD

Emergency Medicine, Emergency Medical Services in Macon, Georgia

NPI Number1710939194
Practice location
400 Charter Blvd, Macon, GA 31210-4831
Fax
770-994-4747
Last updated
September 25, 2023

Dr. Adebola A Adeogun, MD is a Emergency Medicine, Emergency Medical Services based in Macon, GA. Dr. Adebola A Adeogun, MD holds the professional credentials of MD. The NPI number for Dr. Adebola A Adeogun, MD is 1710939194 and holds license No. 042517 (GA). The current practice location address is 400 Charter Blvd, Macon, GA 31210-4831 and the office can be reached by phone at 770-994-9326 and by fax at 770-994-4747. The NPI was assigned on May 16, 2006 and the record was last updated in NPPES on September 25, 2023.

●Provider Profile Details

NPI Number
1710939194
Provider Name
Adebola Adekunle Adeogun
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Sole Proprietor
No
Enumeration Date
May 16, 2006
Last Update Date
September 25, 2023
Certification Date
September 25, 2023
NPI Status
Active

◉Business Practice Location Address

Address
400 Charter Blvd
Macon, GA 31210-4831
City
Macon
State
Georgia
ZIP
31210-4831
Country
US
Phone Number
770-994-9326
Fax Number
770-994-4747

Get directions →

✉Business Mailing Address

Address
1745 Phoenix Blvd
Suite 100
Atlanta, GA 30349-5591
City
Atlanta
State
GA
ZIP
30349-5591
Phone Number
770-994-9326
Fax Number
770-994-4747

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Emergency Medicine207P00000XNo042517GA
Emergency Medicine, Emergency Medical Services207PE0004XYes042517GA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Adebola A Adeogun, MD?

The NPI number of Dr. Adebola A Adeogun, MD is 1710939194. It was assigned on May 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Adebola A Adeogun, MD?

Dr. Adebola A Adeogun, MD is registered under the primary taxonomy Emergency Medicine, Emergency Medical Services (code 207PE0004X) and holds license No. 042517 (GA).

Where does Dr. Adebola A Adeogun, MD practice?

The practice location is 400 Charter Blvd, Macon, GA 31210-4831. The office can be reached at 770-994-9326 (phone) or 770-994-4747 (fax).

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 1710939194 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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