Adegbuji, Omoronke

Adegbuji, Omoronke is an individual health care provider with primary practice located at 1000 Johnson Ferry Road , Atlanta GA 30342. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Adegbuji, Omoronke can be contacted via phone (770) 645-9181.

Contact Information

Primary practice address
1000 Johnson Ferry Road Atlanta GA 30342
Phone: (770) 645-9181
Fax: (770) 645-8455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN161489 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN161498 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN161498 Georgia

Profile Details

NPI number 1649493537
LBN Legal business name Adegbuji, Omoronke
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jun 26th, 2018 - about 6 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649493537 NPPES
Georgia MEDICAID 486548249A

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