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Individual

AYISHATU A SALAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2009 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742-3510
(706) 866-5520
Mailing address
2009 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742-3510

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
33846
TN
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP001570
GA

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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