Bola Sogade, Md, LLC

NPI #1407114739 in Macon, Georgia

Provider Information

NPI Number
1407114739
Entity Type
Organization
Organization Name
Bola Sogade, Md, LLC
Primary Specialty
Physician Assistant
Enumeration Date
Apr 24, 2012
Last Updated
Apr 24, 2012

Practice Location

Address
639 HEMLOCK ST
City
Macon
State
Georgia
ZIP Code
31201-6886
Phone
(478) 745-3014

Authorized Official

Name
BOLA SOGADE, MD
Title
CEO
Phone
(478) 745-3014

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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