Ajayi, Abisola A
Ajayi, Abisola A is an individual health care provider with primary practice located at 5700 Hillandale Dr Suite 250, Lithonia GA 30058-4103. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ajayi, Abisola A can be contacted via phone (770) 981-5431.Contact Information
Primary practice address
5700 Hillandale Dr Suite 250
Lithonia GA 30058-4103
Phone: (770) 981-5431
Fax: (770) 981-5515
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN210095 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN210095 | Georgia |
Profile Details
NPI number | 1033580568 |
---|---|
LBN Legal business name | Ajayi, Abisola A |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 9th, 2015 |
Last updated | Sep 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033580568 | NPPES |
Georgia | MEDICAID | 003173644J | |
Georgia | Other | 202I508927 |
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