Adekemi Adeleke

Individual provider Active NPI Athletic Trainer · Stockbridge, GA

NPI 1659846145 · NPPES record last updated Oct 10, 2018

Key facts

NPI
1659846145
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
3845 Willow Bend Dr
Stockbridge, GA 30281-5686
Phone
(404) 918-1102
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

3845 Willow Bend Dr
Stockbridge, GA 30281-5686

Mailing address

240 S Liberty St
Milledgeville, GA 31061-3333
Phone (404) 918-1102

Other providers in Stockbridge, GA

All providers in Stockbridge, GA · Athletic Trainer in Georgia

Sources for this page

Verify at the official NPI Registry.