Individual provider · NPI-1

Madeline Adeniyi, PA-C

Physician Assistant · Durham, NC

NPI number1992311336
StatusActive
Last updated in NPPESJan 17, 2024

Details

NPI
1992311336
Entity type
Individual (NPI-1)
Name
Madeline Adeniyi
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 21, 2020
Certification date
Jan 17, 2024
Last updated
Jan 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Other names

  • Madeline Gallagher (Former Name)

Practice location

3643 N Roxboro St
Durham, NC 27704-2702

Phone 919-470-4000

Mailing address

3643 N Roxboro St
Durham, NC 27704-2702

Phone 919-470-4000

Other practice locations

101 Dates Dr
Ithaca, NY 14850-1342

Phone 607-274-4011

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