Individual
TAIYE OLUBUYIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2990 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044-5872
(713) 935-0333
Mailing address
904 MASTERS WALK, STONE MOUNTAIN, GA 30087-6087
(770) 465-2612
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN104520
GA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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