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
Fax: (229) 317-2214
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295721975 NPPES
Georgia Other 52702732-001 BCBS
Georgia Other 364802 BCBS
Georgia Other 52702732-004 BCBS

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