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Contact Information

JIBIKE J ADEGBILE, MD
7196 N LAKE DR
SUITE B
COLUMBUS, GA31909-1693
 Phone: 706-256-3500
 Fax: 706-256-3505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JIBIKE J ADEGBILE · (Female)

NPI # 1548215163
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 09/30/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 048967
  • GA Medicaid 000876037E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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