Adiele, Isaac C

Adiele, Isaac C is an individual health care provider with primary practice located at 289 Jonesboro Rd Ste 255, Mcdonough GA 30253-3725. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Adiele, Isaac C can be contacted via phone (404) 520-0506.

Contact Information

Primary practice address
289 Jonesboro Rd Ste 255 Mcdonough GA 30253-3725
Phone: (404) 520-0506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042510 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042510 Georgia

Profile Details

NPI number 1790728863
LBN Legal business name Adiele, Isaac C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790728863 NPPES
Georgia MEDICAID 000901227K

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