Individual
FOLASHADE TAIWO UMOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 MICHIGAN CIR, HOSCHTON, GA 30548-5548
(770) 309-4140
Mailing address
330 MICHIGAN CIR, HOSCHTON, GA 30548-5548
(770) 309-4140
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN172088
GA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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