Individual
CAROLINE OLUFUNKE AYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 DRAYTON MANOR RUN, LAWRENCEVILLE, GA 30046-9425
(770) 617-7600
Mailing address
3640 DRAYTON MANOR RUN, LAWRENCEVILLE, GA 30046-9425
(770) 617-7600
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN269922
GA
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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