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NPI Code Detail

MEDICARE: DR. REX O AJAYI M.D.

MEDICARE:  DR. REX O AJAYI  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician019123GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801899539
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REX O AJAYI M.D.
Provider Business Mailing Address
First Line : PO BOX 72108
Second Line :
City : ALBANY
State : GA
Zip : 31708-2108
Country : US
Telephone Number : 229-435-0832
Fax Number : 229-435-2857
Provider Business Practice Location Address
First Line : 803 N JACKSON ST
Second Line :
City : ALBANY
State : GA
Zip : 31701-2313
Country : US
Telephone Number : 229-435-0832
Fax Number : 229-435-2857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 04/20/2008

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Directions to “ DR. REX O AJAYI M.D.” Practice Location

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