OLUBUSOLA GANDONU AGNP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Gerontology
Provider Information
- NPI Number
1982339719- Provider Type
- Individual Provider (NPI-1)
- Credentials
- AGNP-C
- Status
- Active
Contact & Location
- Address
- 5245 BUFORD HWY, PEACHTREE CORNERS, GA, 300712654
- Phone
- (678) 445-5995
- Fax
- (844) 270-4279
Specialties & Taxonomies
Registered Nurse
License: GA #232352
Nurse Practitioner, Gerontology
Primary License: GA #232352