Individual
OYINLOLA ABISOLA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11 UPPER RIVERDALE RD, RIVERDALE, GA 30274
(770) 991-8199
Mailing address
5216 ROSEWOOD PL, FAIRBURN, GA 30213-5113
(678) 662-0554
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7539
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003159740A
—
GA
Enumeration date
04/10/2015
Last updated
04/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us