Doctor Name: | MS. ABISOLA A AJAYI |
NPI Number: | 1033580568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | RN210095 |
Business Practice Address: | 5700 Hillandale Dr Suite 250 Lithonia, GA - 300584103 |
Business Phone Number: | 7709815431 |
Business Fax Number: | 7709815515 |
Mailing Address: | 1835 Savoy Dr, Suite 300 ATLANTA |
State: | GA |
Postal Code: | 303411072 |
Phone Number: | 6782889555 |
Fax Number: | 6782889556 |
NPI Enumeration Date: | 10/09/2015 |
NPI Last Update Date: | 05/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN210095 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |