MODUPEOLUWA BABALOLA
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Psychiatry
Provider Information
- NPI Number
1619530888- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1075 JESSE JEWELL PKWY SE SUITE B, GAINESVILLE, GA, 305013827
- Phone
- (770) 219-5407
- Fax
- (770) 219-7102
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: GA #10818
Psychiatry & Neurology, Psychiatry
Primary License: GA #10818