Individual
ELIZABETH FEHINTOLA OLUGBUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
745 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
(770) 719-5490
Mailing address
745 GLYNN ST S, FAYETTEVILLE, GA 30214-2049
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN319946
GA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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