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Organization

EVERGREEN MOBILE PRIMARY CARE LLC

Active
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Organization

EVERGREEN MOBILE PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLUSEUN AYODELE BABATUNDE FNP-BC (MANAGING MEMBER)
(770) 265-0864
Entity
Organization

Contact information

Practice address
4485 TENCH RD STE 1020, SUWANEE, GA 30024-6741
(770) 265-0864
(770) 264-1879
Mailing address
2245 WISTERIA DR STE 200-1154, SNELLVILLE, GA 30078-3798
(770) 265-0864
(770) 264-1879

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
04/13/2026
Last updated
08/06/2026
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