Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AJIBOLA ABIDEMI BABATUNDE
Active Sole ProprietorDR. AJIBOLA ABIDEMI BABATUNDE is a 2083A0300X healthcare provider located in ACWORTH, Georgia. NPI 1629573936 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · ACWORTH, GA
Registration Details
- NPI Number
- 1629573936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2018 (8.4138090991643 yrs)
- Last Updated
- Jan 15, 2025
- Licenses
-
14722A (WY)91068 (GA)25MA11151100 (NJ)91068 (GA)91068 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6380 BELLS FERRY RD STE 107ACWORTH, GA, 301025435Browse GA providers · Browse ZIP 30102
- Phone
- 6787024488
- Fax
- 6782855598
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- Addiction Medicine (Family Practice)
- Additional Specialty
- 2083A0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.