Adeboye, Nimota A

Adeboye, Nimota A is an individual health care provider with primary practice located at 20 Glenlake Pkwy , Atlanta GA 30328-3473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Adeboye, Nimota A can be contacted via phone (770) 677-6075.

Contact Information

Primary practice address
20 Glenlake Pkwy Atlanta GA 30328-3473
Fax: (770) 677-7331
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN101321 Georgia

Profile Details

NPI number 1235108176
LBN Legal business name Adeboye, Nimota A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 7th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235108176 NPPES
Georgia MEDICAID 000842982B

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