Organization
DIVINE FAMILY PRACTICE AND URGENT CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIMBOLA A OGUNLEYE-KOLAWOLE (DNP, FNP-BC)
(910) 900-8294
Entity
Organization
Contact information
Practice address
3616 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4456
(910) 900-8294
(910) 900-8280
Mailing address
3616 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4456
(910) 900-8294
(910) 900-8280
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
08/30/2023
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