Agbemadzo, Addison X
Agbemadzo, Addison X is an individual health care provider with primary practice located at 417 W 3Rd Ave , Albany GA 31701-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Agbemadzo, Addison X can be contacted via phone (229) 317-2207.Contact Information
Primary practice address
417 W 3Rd Ave
Albany GA 31701-1943
Phone: (229) 317-2207
Fax: (229) 317-2214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 050572 | Georgia |
Profile Details
| NPI number | 1295721975 |
|---|---|
| LBN Legal business name | Agbemadzo, Addison X |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jul 10th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295721975 | NPPES |
| Georgia | Other | 52702732-001 | BCBS |
| Georgia | Other | 364802 | BCBS |
| Georgia | Other | 52702732-004 | BCBS |
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