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DR. BOLANLE SOGADE M.D. LLC NPI 1689857542


NPI Information

NPI: 1689857542
Provider Name: DR. BOLANLE SOGADE M.D. LLC
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
639 HEMLOCK ST
SUITE 101
MACON, GA
ZIP 31201
Phone: (478) 745-3014
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DR. BOLANLE SOGADE M.D. LLC is an obstetrics obstetrics gynecology in Macon, GA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. BOLANLE SOGADE M.D. LLC NPI is 1689857542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

639 HEMLOCK ST
SUITE 101
MACON, GA
ZIP 31201-886
Phone: (478) 745-3014
Fax: (478) 745-9887

The provider's authorized official is Alisa Martin .
The authorized official title is Billing Cordinator and has the following contact phone number (478) 745-3014.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 12/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics047875GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H89345MEDICARE UPINGEORGIA
2322090OTHERGEORGIAWELLCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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