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1407114739
BOLA SOGADE, MD, LLC
MACON, GA
NPI
1407114739
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Entity Type
Organization
Authorized Contact
BOLA SOGADE
CEO
478-745-3014
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 6409)
Enumeration Date
2012-04-24
Last Update Date
2012-04-24
Business Address
BOLA SOGADE, MD, LLC
639 HEMLOCK ST
MACON, GA 31201-6886
Phone number: 478-745-3014
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Mailing Address
BOLA SOGADE, MD, LLC
639 HEMLOCK ST
MACON, GA 31201-6886
Phone number: 478-745-3014
Copy
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