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Contact Information

OLUBUNMI A IKENEBOMEH
2400 MOUNT ZION PKWY
JONESBORO, GA30236-2500
 Phone: 770-603-3939
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Care

1835P2201X
Indicates primary specialty

NPI Profile & details for OLUBUNMI A IKENEBOMEH · (Female)

NPI Number 1942152160
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2026
Last updated 02/11/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • GA License # RPH22329
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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