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Contact Information

IYABODE A ADETOLA, FNP
146 CCA RD
LUMPKIN, GA31815-3823
 Phone: 229-838-2001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for IYABODE A ADETOLA · (Female)

NPI # 1386460830
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/02/2024
Last updated 12/02/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN177864
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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