Dr Adegboyega Aderibigbe, MD | |
11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | |
(770) 991-8297 | |
(770) 909-2070 |
Full Name | Dr Adegboyega Aderibigbe |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 11 Upper Riverdale Rd Sw, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912960048 | NPI | - | NPPES |
000761505C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 043838 (Georgia) | Primary |
Entity Name | Hospital Authority Of Valdosta And Lowndes County Georgia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033160791 PECOS PAC ID: 1355334509 Enrollment ID: O20040405001313 |
Entity Name | Pediatrix Medical Group Of Ga, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295827574 PECOS PAC ID: 7416927447 Enrollment ID: O20040728000431 |
Mailing Address | Practice Location Address |
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Dr Adegboyega Aderibigbe, MD 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Ph: (770) 991-8288 | Dr Adegboyega Aderibigbe, MD 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 Ph: (770) 991-8297 |
Dr. Angela Patrice Jackson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 Fax: 770-996-5298 | |
Moo Hee Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 | |
Manjit Singh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 | |
Dr. Amjad Iqbal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 189c Medical Way, Riverdale, GA 30274 Phone: 770-991-8900 Fax: 770-991-8917 | |
Joana Isabel Benayoun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 Fax: 770-996-5298 | |
Odell Barnwell Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 | |
Sook Hee Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 |