Individual
ABIOLA DAMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4355 ROSESTONE CT, DOUGLASVILLE, GA 30135-4172
(770) 823-3480
Mailing address
4355 ROSESTONE CT, DOUGLASVILLE, GA 30135-4172
(770) 823-3480
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN157012
GA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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