Individual provider · NPI-1

Fayo Abadula

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number1689409864
StatusActive
Last updated in NPPESSep 5, 2024

Details

NPI
1689409864
Entity type
Individual (NPI-1)
Name
Fayo Abadula
Sex
Female
Sole proprietor
No
Enumeration date
Sep 5, 2024
Certification date
Sep 5, 2024
Last updated
Sep 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3001 Mercer University Dr
Atlanta, GA 30341-4115

Phone 615-635-7210

Mailing address

3575 Hancock Vw
Decatur, GA 30034-5075

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