Agboola, Olivia T

Agboola, Olivia T is an sole proprietor health care provider with primary practice located at 135 Henry Pkwy , Mcdonough GA 30253-6636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Agboola, Olivia T can be contacted via phone (770) 288-6155.

Contact Information

Primary practice address
135 Henry Pkwy Mcdonough GA 30253-6636
Fax: (770) 954-2269
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN209875 Georgia

Profile Details

NPI number 1568022671
LBN Legal business name Agboola, Olivia T
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2019
Last updated Jun 20th, 2019 - about 5 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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