MEDICARE: DR. FEYISAYO ADENIKE ADEYINA 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
1	207Q00000X	Family Medicine Physician	2007-00699	NC

General Provider Information

NPI Number	:	1649277757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FEYISAYO ADENIKE ADEYINA M.D.

Provider Business Mailing Address
First Line	:	1108 KENTWORTH DR STE 704
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-3325
Country	:	US
Telephone Number	:	919-552-9952
Fax Number	:	919-552-3062

Provider Business Practice Location Address
First Line	:	1004 WERRINGTON DR
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-6017
Country	:	US
Telephone Number	:	919-552-9952
Fax Number	:	919-552-3062

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	02/11/2021

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