Individual
BOLANLE OLUMIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1438 GLYNN OAKS DR SW, MARIETTA, GA 30008-6863
(478) 318-4128
(770) 779-9968
Mailing address
1438 GLYNN OAKS DR SW, MARIETTA, GA 30008-6863
(478) 318-4128
(770) 779-9968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
313052
GA
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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