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Contact Information

OLUMUYIWA O ADEBOYE, MD
111 MEDICAL DR
LAGRANGE, GA30240-4157
 Phone: 706-803-7106
 Fax: 770-999-2424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OLUMUYIWA O ADEBOYE · (Male)

NPI Number 1720261407
Status Active
Credentials MD
Entity Individual
Enumeration date 12/17/2007
Last updated 07/08/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 91178
  • OK License # 35726
  • WI License # 63072
Hospital affiliation(s)
  • ST JOHN MEDICAL CENTER INC - (Acute Care)
    1923 SOUTH UTICA AVENUE
    TULSA, OK 74104
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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