Individual
MRS. NIMOTA A ADEBOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 GLENLAKE PKWY, ATLANTA, GA 30328-3473
(770) 677-6075
(770) 677-7331
Mailing address
20 GLENLAKE PKWY, ATLANTA, GA 30328-3473
(770) 677-6075
(770) 677-7331
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN101321
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000842982B
—
GA
Enumeration date
03/14/2006
Last updated
04/07/2023
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