Individual
ABISOLA ADEBOLA OLULADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 PARK CEDAR DR, CHARLOTTE, NC 28210-8902
(704) 667-3600
(704) 542-4405
Mailing address
PO BOX 602120, CHARLOTTE, NC 28260-2120
(704) 667-3600
(704) 542-4405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012-00938
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921056
—
NC
Enumeration date
05/11/2009
Last updated
12/20/2017
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