Emmanuel Adegoke Fadeyi, MD
Pathology, Clinical Pathology in Winston Salem, NC. Individual provider (NPI-1).
NPI number1285820118
StatusActive
Last updated in NPPESJan 9, 2012
Details
- NPI
- 1285820118
- Entity type
- Individual (NPI-1)
- Name
- Emmanuel Adegoke Fadeyi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2007
- Last updated
- Jan 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZC0006X | Pathology, Clinical Pathology | 2007-01579 | NC | Yes |
| 207ZB0001X | Pathology, Blood Banking & Transfusion Medicine | 2007-01579 | NC |
Practice location
Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-2255 · Fax 336-716-7595
Mailing address
Po Box 344Winston Salem, NC 27102-0344
Phone 336-716-2255 · Fax 336-716-7595
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