person
Omolola Otubaga, NP
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, Georgia
NPI 1033595566

Omolola Otubaga is a Psychiatric/Mental Health Nurse Practitioner based in Ellenwood, GA and is specialized in Psychiatric/Mental Health. Omolola Otubaga practices in Fayetteville, GA and has the professional credentials of NP. The NPI Number for Omolola Otubaga is 1033595566 and holds a License No. RN207871 (Georgia).

The current practice location address for Omolola Otubaga is 101 Beckett Ln, Fayetteville, GA and can be reached out via phone at 770-703-4448 and via fax at 770-703-4038. You can also correspond with Omolola Otubaga through the mailing address at 5465 HIGHWAY 42, ELLENWOOD, GA - 30294-3928 (mailing address contact number: 470-646-3738).

Location: 101 Beckett Ln, Fayetteville, GA, 30294-3928
person
Provider Profile Details
NPI Number
1033595566
Provider Name
Omolola Otubaga
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
101 Beckett Ln, Fayetteville, GA, 30294-3928
Phone Number
770-703-4448
Fax Number
770-703-4038
Provider Enumeration Date
08/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Beckett Ln
City
State
Zip
30214-7155
Phone Number
770-703-4448
Fax Number
770-703-4038
person
Provider Business Mailing Address Details
Address
5465 Highway 42
City
State
Zip
30294-3928
Phone Number
470-646-3738
Fax Number
888-910-6463
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN207871 (Georgia)
Definition
Definition to come...
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