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Ebunoluwa Mikie
Psychiatric/Mental Health Nurse Practitioner in Watkinsville, Georgia
NPI 1124669403

Ebunoluwa Mikie is a Psychiatric/Mental Health Nurse Practitioner based in Watkinsville, GA and is specialized in Psychiatric/Mental Health. Ebunoluwa Mikie practices in Watkinsville, GA. The NPI Number for Ebunoluwa Mikie is 1124669403 and holds a License No. RN230157 (Georgia).

The current practice location address for Ebunoluwa Mikie is 1800 Hog Mountain Rd Ste 101, Watkinsville, GA and can be reached out via phone at 770-554-2999.

Location: 1800 Hog Mountain Rd Ste 101, Watkinsville, GA, 30677-1935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124669403
Provider Name
Ebunoluwa Mikie
Credential
Provider Entity Type
Individual
Gender
Female
Address
1800 Hog Mountain Rd Ste 101, Watkinsville, GA, 30677-1935
Phone Number
770-554-2999
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1800 Hog Mountain Rd Ste 101
City
Watkinsville
State
Georgia
Zip
30677-1935
Phone Number
770-554-2999
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Hog Mountain Rd Ste 101
City
Watkinsville
State
Georgia
Zip
30677-1935
Phone Number
770-554-2999
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
RN230157 (Georgia)
Definition
Definition to come...
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