Individual
DAMILOLA OMOTAYO MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 W SOLOMON ST, GRIFFIN, GA 30223-2831
(904) 440-4961
Mailing address
5555 GLENRIDGE CONNECTOR, ATLANTA, GA 30342-4759
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN291979
GA
Other
Enumeration date
01/31/2022
Last updated
03/29/2022
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