Search › Georgia › 207X00000X
Ademola Shofoluwe, M.D
NPI 1972039022 · on the registry since 2017
Practice
- Address
- 3211 Iris Dr
Covington, GA 30016 - Phone
- (770) 787-4042
- Fax
- (770) 922-7499
- Organisation at this address
- Resurgens, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Also registered as
- 390200000X
- Licence states on file
- GA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia