Individual
FALILAT BUNMI HAMBOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 RIVERSHYRE PKWY, LAWRENCEVILLE, GA 30043-6429
(678) 510-8749
Mailing address
3073 PANTHERSVILLE RD, DECATUR, GA 30034-3828
(404) 243-1031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN274940
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN274940
GA
Other
Enumeration date
09/14/2023
Last updated
09/26/2025
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