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Search › Georgia › 363LP2300X

Olusola Olawale

NPI 1205327764 · on the registry since 2018 · sole proprietor

Practice

Address
1684 Thorn Ridge Trl
Hampton, GA 30228
Phone
(614) 599-3617
Fax
(877) 779-5837
Organisation at this address
Premium Care Health, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Also registered as
Psychiatric/Mental Health Nurse Practitioner
363LF0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia