Search › Georgia › 103K00000X
Olawale Agboola
NPI 1457907826 · on the registry since 2019
Practice
- Address
- 616 Mistflower Dr Nw
Acworth, GA 30102 - Phone
- (317) 319-7616
- Organisation at this address
- Shifting Focus Aba Services Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 616 Mistflower Dr Nw, Acworth, GA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-08
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