Abiodun, Abimbola
Abiodun, Abimbola is an sole proprietor health care provider with primary practice located at 550 Peachtree St Ne , Atlanta GA 30308-2212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Abiodun, Abimbola can be contacted via phone (404) 778-1900.Contact Information
Primary practice address
550 Peachtree St Ne
Atlanta GA 30308-2212
Phone: (404) 778-1900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004583 | Georgia |
Profile Details
| NPI number | 1487749867 |
|---|---|
| LBN Legal business name | Abiodun, Abimbola |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Feb 2nd, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487749867 | NPPES |
| Georgia | MEDICAID | 047697566A |
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