Healthcare Provider Details

I. General information

NPI: 1740370758
Provider Name (Legal Business Name): ADEBOLA AROLE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1133 EAGLES LANDING PKWY
STOCKBRIDGE GA
30281-5085
US

IV. Provider business mailing address

PO BOX 8277783
PHILADELPHIA PA
19182-7783
US

V. Phone/Fax

Practice location:
  • Phone: 678-604-1053
  • Fax:
Mailing address:
  • Phone: 215-707-3326
  • Fax: 215-707-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number111349
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA08873700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD438100
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: