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Contact Information

OLUSOLA C OLAWALE
1684 THORN RIDGE TRL
HAMPTON, GA30228
 Phone: 614-599-3617
 Fax: 877-779-5837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for OLUSOLA C OLAWALE · (Male)

NPI # 1205327764
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2018
Last updated 05/05/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN201539
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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