Individual provider · Type 1 NPI
Boyede Franklin Ademodi, MD
Adult Medicine Physician · Jonesboro, GA
NPI number
1043343387
Active
Practice location
2400 Mount Zion Pkwy, Department Of Internal Medicine
Jonesboro, GA 30236-2500
Mailing address
3495 Piedmont Rd NE, Nine Piedmont Center
Atlanta, GA 30305-1773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 58385 (GA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1043343387
Boyede Franklin Ademodi, MD's National Provider Identifier is 1043343387, issued on Mar 14, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Jonesboro, GA. The record was last updated on Jul 8, 2007.