Organization
DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABIMBOLA OGUNLEYE-KOLAWOLE DNP, FNP-C (PRESIDENT)
(910) 779-0780
Entity
Organization
Contact information
Practice address
3616 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4456
(910) 779-0780
(910) 779-0896
Mailing address
3616 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4456
(910) 779-0780
(910) 779-0896
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
08/30/2023
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