| Doctor Name: | AGNES OYEWO |
| NPI Number: | 1023429990 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN228627 |
| Business Practice Address: | 345 Huntington Place Ct Mcdonough, GA - 302538651 |
| Business Phone Number: | 6786106649 |
| Business Fax Number: | 6786106025 |
| Mailing Address: | Po Box 1100, LOCUST GROVE |
| State: | GA |
| Postal Code: | 302481100 |
| Phone Number: | 6786106649 |
| Fax Number: | 6786106025 |
| NPI Enumeration Date: | 05/14/2014 |
| NPI Last Update Date: | 05/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | RN228627 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |