# DIVINE ACCESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902646292
- **Authorized official:** DR. UDU OLADEINDE (MANAGER)
- **Authorized official phone:** (770) 983-4048

## Contact information

- **Practice address:** 167 GILLIFLOWER PARK, SUWANEE, GA 30024-6456
- **Practice address phone:** (770) 983-4084
- **Mailing address:** 990 PEACHTREE INDUSTRIAL BLVD, P.O.BOX 938, SUWANEE, GA 30024-9998
- **Mailing address phone:** (770) 983-4048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2024
- **Last updated:** 06/02/2024