Individual
OLUWADAMILOLA A IGUNBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, AGPCNP
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(912) 659-0660
Mailing address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(912) 659-0660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN201775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144314A
—
GA
05
—
NP2708
—
SC
01
—
P01292131
RAILROAD MEDICARE
GA
Enumeration date
03/04/2014
Last updated
12/08/2015
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