Individual
JOY ADEBOWALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 JOHNSON FERRY RD STE 129, MARIETTA, GA 30068-2766
(404) 941-3017
Mailing address
PO BOX 1718, PINE LAKE, GA 30072-1718
(678) 825-5831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN252307
GA
Other
Enumeration date
06/09/2022
Last updated
08/21/2023
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