Provider Demographics
NPI:1265166227
Name:ADEWUMI, BABAJIDE (MD)
Entity type:Individual
Prefix:
First Name:BABAJIDE
Middle Name:
Last Name:ADEWUMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 MIDDLETON PL
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-4116
Mailing Address - Country:US
Mailing Address - Phone:706-372-0453
Mailing Address - Fax:
Practice Address - Street 1:246 MIDDLETON PL
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:GA
Practice Address - Zip Code:30017-4116
Practice Address - Country:US
Practice Address - Phone:706-372-0453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YC3301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Hospital Based