Banjoh, Modupe

Banjoh, Modupe is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30046-8444. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Banjoh, Modupe can be contacted via phone (678) 209-2394.

Contact Information

Primary practice address
175 Gwinnett Dr Lawrenceville GA 30046-8444
Phone: (678) 209-2394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN285748 Georgia

Profile Details

NPI number 1861015844
LBN Legal business name Banjoh, Modupe
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2020
Last updated May 25th, 2020 - 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.

Request for update

Popular Providers