| NPI | 1548881279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIMBOLA A OGUNLEYE-KOLAWOLE Dnp, Fnp Bc 910-900-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2023-08-30 |