Nkemakolem Eluroma Obaze-Adegbite, NP
Nurse Practitioner, Family in Fairburn, GA. Individual provider (NPI-1).
NPI number1306368634
StatusActive
Last updated in NPPESJul 7, 2017
Details
- NPI
- 1306368634
- Entity type
- Individual (NPI-1)
- Name
- Nkemakolem Eluroma Obaze-Adegbite
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2017
- Last updated
- Jul 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN210241 | GA | Yes |
Practice location
7854 Village PassFairburn, GA 30213-7918
Phone 404-510-2971
Mailing address
14121 Parke Long Ct Ste 201Chantilly, VA 20151-1647
Phone 404-510-2971
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