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Contact Information

OLALEKAN H AJIBOWO, MD
413 POTTERY FACTORY DR
COMMERCE, GA30529-6682
 Phone: 706-423-9449
 Fax: 706-423-9443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for OLALEKAN H AJIBOWO · (Male)

NPI # 1235320151
Status Active
Credentials MD
Entity Individual
Enumeration date 08/06/2007
Last updated 12/12/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 059896
  • FL Medicaid 012327700
  • GA Medicaid 029471605C
  • GA Medicaid 029471605E
  • GA Medicaid 029471605I
  • GA Medicaid 029471605J
  • GA Medicaid 029471605K
  • GA Medicaid 029471605L
  • GA Medicaid 029471605M
Hospital affiliation(s)
  • DEKALB MEDICAL CENTER - (Acute Care)
    2701 N DECATUR ROAD
    DECATUR, GA 30033
  • ST MARY'S HOSPITAL - (Acute Care)
    1230 BAXTER STREET
    ATHENS, GA 30606
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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