Individual
BASIRAT SAID OWOLABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
613 ROSELANE ST NW, MARIETTA, GA 30060-6940
(770) 792-9800
(770) 794-7150
Mailing address
613 ROSELANE ST NW, MARIETTA, GA 30060-6940
(770) 792-9800
(770) 794-7150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN193411
GA
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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